Senior Healthcare Coding Analyst (Hybrid)

American Medical Association•Chicago, IL

17h•Hybrid

About The Position

The Senior Healthcare Coding Analyst supports and enhances the activities of the CPT Editorial Panel and/or the CPT Editorial Assistant Board in maintaining the CPT code set. The role works with national medical specialty societies, non-physician professional organizations, public and private payers, pharmaceutical and device manufacturers, and other stakeholders. It uses “Core” database efficiencies to conduct coding analysis and research on the use and application of CPT codes, develops CPT educational content, and provides recommendations and developments to CPT based on health policy knowledge. This is a hybrid position reporting to the American Medical Association’s Chicago office, with three days per week in the office. The role is exempt, requires some travel, and may include other projects and tasks as assigned.

Requirements

Bachelor’s degree required.
At least 7 years of CPT experience or equivalent medical society experience; exposure to CPT required.
Knowledge of current clinical nomenclature, classification systems, anatomy, and physiology required.
Superior writing, research, and analytical skills, including the ability to conceptualize issues, synthesize and organize material, and develop comprehensive reports and other materials.
Exceptional oral communication and interpersonal skills, including the ability to represent the AMA professionally, interact with high-profile individuals, negotiate sensitive issues, and achieve consensus among stakeholder groups.
Ability to navigate a politically sensitive environment.
Organizational and project management skills to prioritize and coordinate assignments and projects in a high-pressure, fluid environment.
Ability to work in a team, build supportive relationships with colleagues, and work independently with minimal supervision.
Willingness and ability to mentor new and junior-level staff.
Some travel required.

Nice To Haves

Master’s degree preferred.
RHIA, RHIT, CCS-P, or CPC certification is a plus.
Claims processing and physician payer policy knowledge preferred.

Responsibilities

Counsel and support the CPT Editorial Panel in developing and maintaining the CPT code set, including preparing highly complex code change proposals and facilitating Panel Workgroups and industry-focused caucuses involving multiple stakeholders.
Assist with legislative and regulatory presentations and testimony on physician coding issues, and develop Panel minutes that form the basis for CPT products.
Maintain the CPT roadmap and develop content release information.
Serve as the primary liaison and subject matter expert to national medical specialty societies, public and private payers, AMA members, healthcare financing stakeholders, and internal AMA groups on complex, high-profile CPT code set issues.
Investigate, analyze, and communicate complex health care policies affecting the use of the CPT code set in reporting health care services and procedures.
Author and develop educational content, including books, newsletters, electronic products, and advice, to help stakeholders appropriately apply the CPT code set.
Review and analyze the CPT code set, identify gaps, explain the implications of changes, and recommend updates.
Complete other projects and tasks as assigned; responsibilities may include other assignments.
Mentor new and junior-level staff.