Salary commensurate with experience; annual bonus potential
Required Education:
4 Year Degree
Additional Information:
Telecommuting is allowed.
Internal Number: 202304
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 advance sleep care and enhance sleep health to improve lives. We strive to have sleep recognized as essential to health. We represent a combined membership of 12,000 accredited member sleep centers and individual members, including physicians, scientists, and other healthcare professionals.
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.
Initially, this position will require an initial office presence for onboarding and equipment pick-up. After that, this position will transition to hybrid with the option to work in the office. Employees are strongly encouraged to work in the office two days a week, with Wednesday as an anchor day. Managers (with direct reports) will be required to work in the office on the anchor day. There will be instances in the future for all staff to report to the office for certain staff meetings/functions. As a result, only local candidates will be considered for this position.
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, private and public payer policies, and will have AMA CPT and RUC experience.Bonus points if you have coding/billingexperience through a medical facility or practice.
Responsibilities and Duties
Serves as staff liaison to two Health Policy Committees/Task Forces, as well as support other Committee/Task Force activities, 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
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 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 specialty society
Experience 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 and 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 Skills
Medical coding/billing experience through a practice or facility
Medical coding certification or credential (RHIA, RHIT, CCS, CCS-P, or CCA)
Experience with third-party reimbursement or insurance industry
The AASM is proud to be an Equal Employment Opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Aside from the great job opportunity, we offer a collaborative and fun work culture with amazing benefits. Visit "Working at AASM" for a glimpse of AASM work life.
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, up to 3 months
Flex-time hours
Business casual environment
DoorDash meal perks in-office
Generous 401(k) plan
Flexible spending & dependent care accounts
Professional development assistance
Pet insurance
Theft ID coverage
Discounted fitness membership
Service recognition and peer-to-peer platform with reward points for gift card or donation redemption
Weekly “Wellness Wednesdays” with walk, stretch, and healthy snack breaks
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 advance sleep care and enhance sleep health to improve lives. We represent a combined membership of over 12,000 accredited member sleep centers and individual members,
including physicians, scientists, and other health care professionals.
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 team values each day and are looking for others who would like to do the same.
The health and safety of our valued employees are of the utmost importance to us. A majority of our employees enjoy a hybrid work arrangement with the option to work in our Darien, Illinois office. Currently, only local candidates will be considered for all positions as we consider a long-term arrangement in 2023.