Senior Healthcare Coding Analyst (Hybrid)

American Medical Association•Chicago, IL

10d•$99,410 - $131,637•Hybrid

About The Position

The American Medical Association (AMA) is seeking a Senior Healthcare Coding Analyst for their Health Solutions team. This is a hybrid position based in Chicago, IL, requiring three days a week in the office. The role supports the CPT Editorial Panel and/or the CPT Editorial Assistant Board in maintaining the CPT code set. This involves working with various stakeholders including national medical specialty societies, non-physician professional organizations, public and private payers, and pharmaceutical and device manufacturers. The analyst will use "Core" database efficiencies for coding analysis and research, develop CPT educational content, and provide recommendations based on health policy knowledge as a CPT subject matter expert.

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.

Nice To Haves

Master's degree preferred.
Claims processing and physician payer policy knowledge preferred.

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