Houston, Dallas-Fort Worth, or Austin, Texas
Remote
Boston, Massachusetts
Columbus, OH
Chicago, Illinois
Brunswick, GA
Posted: 30-May-23
Location: Southwest suburban Chicago
Type: Full Time
Salary: $65k+
Salary Details:
Required Education:
Additional Information:
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/billing experience 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
- Twice daily “plank breaks”
- Seasonal staff events
