Quality & Compliance Coordinator

At American Vision Partners (AVP) we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems operational infrastructure and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center Southwestern Eye Center Retinal Consultants of Arizona M&M Eye Institute Abrams Eye Institute Southwest Eye Institute Aiello Eye Institute Moretsky Cassidy Vision Correction Wellish Vision Institute West Texas Eye Associates and Vantage Eye Center. We are focused on building the nations largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona New Mexico Nevada California and Texas including 25 ambulatory surgical centers.

At AVP we value teamwork providing exceptional experiences continuous improvement financial strength and hard work. We are committed to providing best-in-class patient care pioneering research and technology and most importantly rewarding and recognizing our employees!

This role supports the Quality & Compliance team and coordinates cross-functionally by performing administrative regulatory and project-based activities across the departmentand the ASCs while contributing to quality and compliance initiatives.

The coordinator serves as a key point of coordination for ASC regulatory readiness policy and contract

administration document control and continuous improvement working closely with quality compliance and legal leadership and maintaining a high degree of confidentiality.

Provides administrative and coordination support to the Quality & Compliance department maintaining a high

degree of confidentiality

Assists with the preparation and creation of quarterly QAPI reports

Assists with Peer Review assignment distribution tracking and creating reports

Processes incident reports for insurance claims and coordinates related follow-up activities

Maintains QAPI training completion records and performs follow-up as needed

Coordinates quarterly THCIC reporting for Texas ASCs ensuring accurate data submission timely filing and

compliance with all Texas Health Care Information Collection (THCIC) requirements

Assists Sr. Director of Quality with the Merit-based Incentive Payment System (MIPS) performance monitoring

data validation provider updates and staff follow-up

Tracks meeting dates and updates applicable reports and documents accordingly

Assists with report creation and data entry within the Compliance Line (myMCM) platform

Processes form translation requests for the department

Assists with compliance monitoring activities as needed by the Compliance Manager

Updates surgical forms changes including editing grammar punctuation or spelling as needed. This requires

knowledge of healthcare vocabulary and limited range of specialized terminology

Assists with preparation for surveys (AAAHC CMS) serves as the AAAHC database contact person and

maintains required documentation

Following pre-determined format reviews each ASCs Medicare Survey Book to verify accuracy completeness

and alignment with current CMS requirements ensuring all documents policies and supporting evidence are

updated and ready for surveyor review

Coordinates with the department leaders and the ASC Regulatory Specialist (or similar role) on necessary

updates to policies and procedures maintaining version control and ensuring all documents remain current

and properly archived; requires strong proficiency in the MedTrainer platform for policy updates tracking and

distribution

Coordinates Infection Control training for the ASC Managers and Directors

Provides support for CSOS (Controlled Substance Ordering System) by coordinating with the Procurement

department to ensure compliant and timely procurement of controlled substances

Monitors all Unplanned Hospital Transfers to confirm required documentation is complete accurate and

submitted ensuring timely follow-up and compliance with ASC reporting standards

Ensures ASC regulatory filings are coordinated and completed timely cross-departmentally

Performs other duties as assigned

Education:

High school diploma or equivalent

Associates degree or equivalent experience preferred; coursework or experience in healthcare administration

compliance ASC regulations and survey requirements or a related field is a plus

Experience:

Good knowledge of basic legal and regulatory requirements and procedures in the healthcare setting

Demonstrates ability to support compliance functions including handling confidential and privileged

information with discretion

Strong organizational and project-coordination skills with the ability to manage multiple priorities deadlines

and stakeholders independently

Familiarity with contract administration policy management and document/version control systems (e.g.

MedTrainer)

Excellent oral and written communication skills

Excellent clerical and administrative skills

Ability to present a professional image of the department to consumers the public staff and Board at all times

Highly self-motivated flexible and direct with the ability to work cooperatively with others as a

productive team member

Excellent communication skills written and verbal with a high standard of positive interaction with all team

members clinic employees clients and members of the community

Ability to support a work team by demonstrating a positive attitude openness to change willingness to help

cross-departmentally and respect for others and their ideas

Ability to maintain a positive solution-focused demeanor when responding to conflicts or problems

General computer proficiency including accurate typing and proficiency in the Microsoft Office Suite

Your health happiness and your future matters! At AVP we offer everything from medical and dental insurance significant eye care discounts child care assistance pet insurance continuing education funds 401(k) paid holidays PTO Sick Time opportunity for growth and much more!