Coding and Reimbursement Analyst

American Urological Association•Linthicum, MD

About The Position

The Coding & Reimbursement Analyst temp will be providing short-term, high-impact, project based (as needed working up to 19.5 hours a week) support to the Physician Payment & Reimbursement function by triaging coding questions, conducting code research, drafting internal summaries, and supporting meeting preparation and follow-up related to AUA’s participation in the American Medical Association’s RUC and CPT processes, provide expert-level technical coding guidance, and serve as a staff resource in urology coding and reimbursement, payer policy, and coverage, claims, and billing issues. This role is designed to stabilize workload during periods of high volume and ensure continuity across recurring coding and reimbursement activities.

Requirements

Strong knowledge and experience in medical coding and reimbursement required; experience in urology coding strongly preferred.
CPC Certification.
Knowledge of American Medical Association RUC and CPT processes.
Strong attention to detail.
Demonstrated ability and experience working with large data sets.
Excellent professional judgment
CPT coding research and technical writing
Reimbursement and payer literacy
Organized project tracking and follow-through
Clear communication skills
Microsoft Office suite with high proficiency in Excel
Ability to use or adapt to AUA’s technology ecosystem
Maintenance of strict confidentiality

Nice To Haves

Experience with specialty societies, payer policy, MAC LCDs preferred.

Responsibilities

Triage and respond to routine coding and reimbursement inquiries from urologists and practice managers.
Track recurring coding issues and trends raised by members or stakeholders.
Provide coding guidance for urologists on site at AUA’s Annual Meeting.
Support preparation and follow-up for CPT and RUC-related activities. This includes but is not limited to supporting preparation of code change applications, RUC survey materials, and RUC recommendation materials.
Analyze RUC survey data and other large data sets.
Assist with background materials for coding workgroups and strategy discussions.
Provide strategic advice and technical support for insurance coverage and payment issues.
Monitor and triage the payment policy inbox and coordinate follow-up.
Maintain or assist with the maintenance of AUA’s industry consulting program tracker and coordinate/assist with coordination of follow-up.
Upon request, provide practice management (coding, billing, and claims) support at meetings or in response to staff or member inquiries.
Provide expert-level, technical guidance on use of existing urology-related codes