Senior Healthcare Coding Analyst

American Medical Association

3d • Hybrid

About The Position

The American Medical Association (AMA) is the nation's largest professional Association of physicians and a non-profit organization. We are a unifying voice and powerful ally for America's physicians, the patients they care for, and the promise of a healthier nation. To be part of the AMA is to be part of our Mission to promote the art and science of medicine and the betterment of public health. At AMA, our mission to improve the health of the nation starts with our people. We foster an inclusive, people-first culture where every employee is empowered to perform at their best. Together, we advance meaningful change in health care and the communities we serve. We encourage and support professional development for our employees, and we are dedicated to social responsibility. We invite you to learn more about us and we look forward to getting to know you. We have an opportunity at our corporate offices in Chicago for a Senior Healthcare Coding Analyst on our Health Solutions team. This is a hybrid position reporting into our Chicago, IL office, requiring 3 days a week in the office. As a Senior Healthcare Coding Analyst you will be responsible for supporting and enhancing the activities of the CPT Editorial Panel and/or the CPT Editorial Assistant Board in maintaining the CPT code set by working with national medical specialty societies, non-physician professional organizations, public and private payers, pharmaceutical and device manufactures, and other high profile stakeholders. Utilizing “Core” database efficiencies, accountable for coding analysis and research for the use and application of CPT codes. Develop CPT educational content through books, electronic products, newsletters, and symposiums. As the CPT, subject matter expert, provide recommendations and developments to CPT based on health policy knowledge.

Requirements

• Bachelor’s degree required; master’s degree preferred.
• Minimum of 7 years CPT experience or equivalent medical society experience; exposure to CPT required.
• RHIA, RHIT, CCS-P or CPC certification a plus.
• Knowledge of current clinical nomenclature, classification systems, anatomy, and physiology required. Claims processing and physician payer policy knowledge also preferred.
• Ability and willingness to mentor new and junior level staff.
• Superior writing, research, and analytical skills, including the ability to clearly conceptualize issues, synthesize and organize material, and develop and write comprehensive/insightful reports and other materials.
• Exceptional oral communication and interpersonal skills, including the ability to effectively and professionally represent the AMA in external organizations, successfully interact with high-profile individuals, negotiate sensitive issues, and achieve consensus with multi-stakeholder groups.
• Ability to navigate a politically sensitive environment.
• Demonstrated organizational skills and project management required to prioritize and coordinate work assignments and projects in a high-pressure fluid environment.
• Ability to work well in a team environment and build strong, mutually supportive relationships with colleagues along with the ability to work independently with minimal supervision.
• Some travel required.

Responsibilities

• Serve as counsel and support to the CPT Editorial Panel to develop and maintain the CPT code set, including preparation of highly complex code change proposals, active facilitation of Panel Workgroups and industry focused caucuses involving multiple stakeholders. Assist in preparing legislative and regulatory presentations and testimony on physician coding issues and development of Panel minutes that forms the basis for all CPT products. Maintain CPT roadmap and develops content release information. Serve as the primary liaison and subject matter expert to the national medical specialty societies, public and private payers, AMA members, healthcare financing stakeholders, and internal AMA groups on highly complex and high profile issues related to the CPT code set. Investigate, analyze and communicate complex health care policies associated with the delivery and reporting of health care services and procedures that impacts the use of the CPT code set by physicians and non-physician health care professionals.
• Author and develop educational content to support the policies of the CPT Editorial Panel and/or the CPT Editorial Assistant Board, in the form of books, newsletters, electronic products and advice, to assist AMA members, physicians, non-physician health care professionals and other CPT stakeholders in appropriately applying the CPT code set. Critically review and analyze the CPT code set, as responsible for the maintenance of the CPT code set.
• Proactively identify gaps in the CPT code set, show implications of changes and supplies recommendations to the CPT code set.
• May include other responsibilities as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees