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Health Policy Project Manager

American Academy of Sleep Medicine – Darien, IL

Company Overview

We are the American Academy of Sleep Medicine (AASM), an innovative professional medical association located in Darien, IL, a southwest suburb of Chicago. Established in 1975, the AASM is a professional, forward thinking membership organization dedicated to the advancement of sleep medicine and related research. Our mission is to assure quality care for patients with sleep disorders, promote the advancement of sleep research and provide public and professional education. We represent the professional interests of over 9,000 sleep medicine clinicians and researchers worldwide and accredits thousands of sleep centers in the United States.

In pursuit of improving sleep health and promoting high quality patient-centered care for all people, the AASM is dedicated to fostering a culture that is committed to excellence, inclusive, flexible, collaborative, appreciative, supportive and innovative. We strive to live out these core values each day and are looking for others who would like to do the same.

Job Summary

We have an immediate need for a Health Policy Project Manager to manage efforts related to coding and reimbursement. This will include maintenance of the sleep medicine code set and participation in the AMA CPT Editorial Panel and AMA/Specialty Society RVS Update (RUC) process on behalf of AASM. This person will also serve as a resource to our members for questions related to insurance coverage policies, current and future payment programs and other legislation impacting reimbursement.

The ideal candidate will be well-versed in medical coding and payer policies with coding/billing experience through a medical facility or practice. Bonus points if youve worked at a medical specialty association and have AMA CPT and/or RUC experience.

Responsibilities and Duties

  • Serves as staff liaison to the Coding and Compliance Committee and Payer Policy Review Committee, as well as other related task forces as necessary
  • Responds to member inquiries related to coding and reimbursement
  • Develops and maintains educational resources and products related to coding, compliance, and reimbursement for the AASM membership
  • Researches new policies and legislation impacting sleep medicine reimbursement including, but not limited to, the Physician Fee Schedule and the Medicare Access and Chip Reauthorization Act (MACRA)
  • Develops member communications about changes in health policy initiatives and changes in the healthcare landscape that may impact the field of sleep medicine
  • Serves as an additional staff representative to the AMA RUC and CPT - facilitating physician participation in the process of submitting and reviewing code change proposals and recommending appropriate values for sleep services, as well as educating members on the RUC survey process
  • Helps maintain relationships between the Academy and other groups, societies, and associations with related interests
  • Helps facilitate efforts to build relationships and communication channels with health plans, benefit management companies and other payers
  • Supports the dissemination of practice standards including clinical practice guidelines, position statements, quality measures, etc., to health plans, employers, and payers
  • Collaborates with Advocacy staff on overlapping projects, as appropriate
  • Some travel (up to 15%) is required with this position, which may include weekends

Qualifications and Skills

  • Bachelor s degree (B.A. or B.S.) from four-year college or university
  • Understanding of medical coding and payer policies (Medicare and private payers)
  • Minimum 3 years experience with coding/billing issues through a medical facility or practice or through a medical specialty society
  • Familiarity with the AMA CPT Editorial Panel and RVS Update Committee processes
  • Ability to manage and coordinate multiple projects at one time; strong organizational skills required
  • Demonstrated proficiency with project management and administration
  • Excellence in written, verbal communication, analytical and organizational skills
  • Ability to read, analyze, and interpret professional journals, technical procedures, payer policies or governmental regulations
  • Ability to effectively present information and respond to questions from members, payers and the general public
  • Ability to travel up to 15%

Bonus points

  • Medical specialty society experience
  • Medical coding certification or credential (RHIA, RHIT, CCS, CCS-P, or CCA)
  • Experience with third-party reimbursement or insurance industry

Aside from the great job opportunity, we offer a collaborative and fun work culture with amazing benefits.

  • Affordable medical & dental coverage for you and your family
  • Free life & disability insurance
  • 3 weeks of PTO (personal/vacation/sick time) plus paid company holidays
  • PAID parental leave
  • Flex-time hours
  • Business casual environment
  • Generous 401(k) plan
  • Flexible spending & dependent care accounts
  • Discounted fitness membership
  • Costco membership
  • Weekly Wellness Wednesdays with walk, stretch and healthy snack breaks
  • Monthly birthday celebrations, Lunch and Learns & seasonal staff events
  • Onsite yoga classes
  • Community garden

Job Type: Full-time

Experience:

  • Medical Coding: 3 years (Required)
  • Project Management: 1 year (Preferred)

Education:

  • Bachelor s (Required)

License:

  • RHIT (Preferred)
  • CCS (Preferred)
  • RHIA (Preferred)
  • CCA (Preferred)
  • CCS-P (Preferred)

Additional Compensation:

  • Bonuses
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