Senior Healthcare Coding Analyst (Hybrid)

American Medical Association • Chicago, IL

1d • 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 expertise.

This is a hybrid position based in the AMA’s Chicago office, with three days per week in the office. The role is exempt and requires some travel. The American Medical Association is a nonprofit professional association whose mission is to promote the art and science of medicine and the betterment of public health.

Requirements

• High school diploma or equivalent education is required; a bachelor’s degree is preferred, or equivalent work experience may be considered.
• 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 achieve consensus among multiple stakeholders.
• 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 effectively in a team and build supportive relationships, as well as work independently with minimal supervision.
• Ability and willingness to mentor new and junior-level staff.
• Willingness to travel as required.

Nice To Haves

• RHIA, RHIT, CCS-P, or CPC certification.
• Knowledge of claims processing and physician payer policy.

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 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 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 support CPT Editorial Panel and/or CPT Editorial Assistant Board policies and help stakeholders appropriately apply the CPT code set.
• Critically review and analyze the CPT code set, identify gaps, explain implications of potential changes, and provide recommendations for maintaining the code set.
• Complete other projects and tasks as assigned, which may include additional responsibilities.

Benefits

• Employees are eligible to participate in an incentive plan.
• The posting directs applicants to learn more about the AMA’s benefits offerings but does not specify individual benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior