Senior Healthcare Coding Analyst (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 conducts coding analysis and research on the use and application of CPT codes, develops CPT educational content, and provides recommendations informed by health policy knowledge. The position is hybrid, based in the AMA’s Chicago office, with three days per week in the office.
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.
- 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, work 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 assignments in a high-pressure, changing environment.
- Ability to work effectively on a team, build supportive relationships with colleagues, and work independently with minimal supervision.
- Willingness and ability to mentor new and junior-level staff.
- Willingness to travel as required.
Nice To Haves
- Master’s degree preferred.
- RHIA, RHIT, CCS-P, or CPC certification is a plus.
- Knowledge of claims processing and physician payer policy preferred.
Responsibilities
- Advise 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 with 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 for 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 healthcare policies affecting the use of the CPT code set in reporting services and procedures.
- Author and develop educational content, including books, newsletters, and electronic products, to help stakeholders apply the CPT code set appropriately.
- Critically review and maintain the CPT code set.
- Identify gaps in the CPT code set, explain the implications of potential changes, and recommend updates.
- Mentor new and junior-level staff.
- Complete other projects and tasks as assigned.
- Travel as required.
Benefits
- Employees are eligible to participate in an incentive plan.
- The AMA encourages and supports professional development.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
