Senior Healthcare Coding Analyst (Hybrid)

American Medical Association • Chicago, IL

3d • Hybrid

About The Position

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

Requirements

• Bachelor’s degree required.
• Minimum of 7 years CPT experience or equivalent medical society experience; exposure to CPT required.
• Knowledge of current clinical nomenclature, classification systems, anatomy, and physiology required.
• 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.

Nice To Haves

• Master’s degree preferred.
• RHIA, RHIT, CCS-P or CPC certification a plus.
• Claims processing and physician payer policy knowledge also 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 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.

Benefits

• Employees are also eligible to participate in an incentive plan.
• To learn more about the American Medical Association’s benefits offerings, please click here.

What This Job Offers

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