Heaton Eye Associates

Job Summary:

The Coding Integrity Analyst/Auditor ensures the accuracy, compliance, and efficiency of medical coding across the organization. This position plays a critical role in strengthening the Revenue Cycle by providing operational and analytical support that drives coding quality, documentation improvement, and regulatory compliance. The role ensures coding practices align with federal and payer guidelines, internal standards, and industry best practices, while also identifying trends, reducing denial risk, and supporting physician education. Reporting directly to the Director of Revenue Cycle Management (RCM), this position works collaboratively with multiple departments and leadership teams to advance compliance, revenue optimization, and overall process improvement that supports the success of both RCM functions and clinic operations.

About the Practice:

The physicians of Heaton Eye Associates have been serving East Texas’ vision needs for over 40 years. We offer state-of-the-art technology with special services ranging from primary eye care to world-class laser surgery. Our physicians were the first to offer LASIK laser vision correction in East Texas and have performed tens of thousands of procedures since its inception. Heaton Eye offers a wide range of premium lenses including Symfony Extended Depth of Focus lenses, PanOptix® lenses, and Vivity® lenses to offer freedom from glasses and contacts after cataract surgery. Our surgeons were the first in East Texas to offer the RxSight Light Adjustable Lens, the only lens implant that allows patients to preview and adjust their vision after cataract surgery. We are the first and only practice in the area offering EVO ICL, another exciting option offering patients freedom from contacts and glasses. Additionally, we have the only fellowship-trained Pediatric Specialist as well as the only Oculoplastic Surgeon offering cosmetic, medical, and reconstructive surgery as well as state-of-the-art aesthetic services in the area. The extensive care and energy Heaton Eye Associates puts into maintaining our leadership position on information and technology in the rapidly evolving science of ophthalmology reflects our commitment to our patients.

About the Area:

Our East Texas locations in Tyler, Longview and Athens offer year-round activities the entire family can enjoy. In Longview, you can experience Texas' rich history and culture. Tyler is surrounded by 25 prime sporting lakes, offering wonderful opportunities for fishing and boating. In the spring, Tyler residents enjoy the colorful spring flowers. Athens, whose tagline is Hamburgers-Heritage-Texas, has the charm of a small, southern town while still retaining many qualities of a larger city and is home to the East Texas Arboretum and Botanical Society.

Experience:

Minimum of three (5) years of revenue cycle experience in either a health system or physician practice setting.

Strong analytical and communication and presentation skills with a broad understanding and willingness to learn the scope of the entire revenue cycle.

Must be well versed in all Microsoft Products including but not limited to EXCEL, WORD, POWERPOINT.

Strong understanding of revenue cycle metrics and financial indicators as well as payer reimbursement methodologies. Strong understanding of CPT and HCPC codes and associated assignment/medical coding related to such codes.

Certification/Licensure:

Certified Professional Coder (CPC) required.

Education:

Bachelor’s degree in health or business administration is preferred, appropriate experience may be substituted for educational requirements.

Job Duties Include:  

• Track and monitor physician queries for trends, highlighting opportunities for documentation improvement and business process enhancements.
• Investigate and respond to compliance inquiries, denials, and billing concerns, ensuring accuracy and defensibility of submitted services.
• Safeguard the integrity of coding and billing data within the revenue cycle system.
• Deliver timely guidance and feedback to strengthen knowledge and skill development across teams.
• Develop and communicate analytical summaries through written reports and presentations; assist in implementing and monitoring process improvements to measure outcomes and ensure sustained effectiveness.
• Ensure compliance with all local, state, and federal regulations governing coding, billing, and revenue cycle functions.
• Partner closely with Administrative and RCM leadership on audits, payer reviews, government inquiries, and other external audit requests.
• Maintain up-to-date expertise on healthcare legislation, industry trends, and best practices impacting coding and revenue cycle management.
• Perform other responsibilities as assigned to support evolving operational and organizational needs.

Qualifications:  

• Extraordinary Customer Service and Team Member Relations – REQUIRED!
• Minimum of three (5) years of revenue cycle experience in either a health system or physician practice setting.
• Certified Professional Coder (CPC) required.
• Must be well versed in all Microsoft Products including but not limited to EXCEL, WORD, POWERPOINT.
• Strong understanding of revenue cycle metrics and financial indicators as well as payer reimbursement methodologies.
• Strong understanding of CPT and HCPC codes and associated assignment/medical coding related to such codes.
• Preferred NextGen, Waystar, Availity
• Dependable
• Good communication skills
• Willingness to grow
• Driven, responsible, take ownership of the position
• Kind, compassionate, servant’s heart
• Professional appearance
• Computer skills
• Multitasking
• Time management
• Organizational skills
• Attention to detail
• Valid driver’s license

Benefits:  

• Affordable Health and Dental 
• Vision Care
• Life Insurance 
• PTO
• 401K

JOB CODE: 90