Senior Healthcare Coding Analyst (Hybrid)

American Medical Association•Chicago, IL

1d•$99,410 - $131,637•Hybrid

About The Position

The Senior Healthcare Coding Analyst supports and enhances the activities of the CPT Editorial Panel and/or 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 performs coding analysis and research on the use and application of CPT codes, develops CPT educational content, and provides subject-matter recommendations based on health policy knowledge. This position is hybrid and reports to the AMA’s Chicago office, with three days per week in the office. It is an exempt position and requires some travel.

Requirements

Bachelor’s degree preferred, or equivalent work experience; a high school diploma or equivalent education is required.
At least 7 years of CPT experience or equivalent medical society experience; CPT exposure is required.
Knowledge of current clinical nomenclature, classification systems, anatomy, and physiology.
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 build consensus among multiple stakeholders.
Ability to navigate a politically sensitive environment.
Organizational and project-management skills to prioritize and coordinate work in a high-pressure, fluid environment.
Ability to work collaboratively and build supportive relationships, as well as work independently with minimal supervision.
Willingness and ability to travel as required.

Nice To Haves

RHIA, RHIT, CCS-P, or CPC certification.
Knowledge of claims processing and physician payer policy.
Bachelor’s degree, if the candidate does not otherwise qualify through equivalent work experience.

Responsibilities

Counsel and support the CPT Editorial Panel in developing and maintaining the CPT code set, including preparing complex code change proposals and facilitating Panel Workgroups and industry-focused caucuses.
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 for national medical specialty societies, public and private payers, AMA members, healthcare financing stakeholders, and internal AMA groups on complex and high-profile CPT issues.
Investigate, analyze, and communicate healthcare policies affecting the use of the CPT code set in reporting healthcare services and procedures.
Author and develop educational content—including books, newsletters, electronic products, and advice—to help stakeholders appropriately apply the CPT code set.
Critically review and analyze the CPT code set and maintain it.
Identify gaps in the CPT code set, explain the implications of changes, and provide recommendations.
Mentor new and junior-level staff.
Complete other projects and tasks as assigned.