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Senior Clinical Content Manager Job in Chicago, Illinois

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Job Title: Senior Clinical Content Manager

Employer:American Medical Association
Type:Full-Time
Preferred Certifications:CCS,CCS-P,RHIA
Required Experience:5 to 7 years
Location:Chicago, IL
Date Posted:1/15/2020

Senior Clinical Content Manager
Chicago, IL

The American Medical Association (AMA), a nonprofit, is the nation's largest professional Association of physicians. We are a unifying voice and powerful ally for America's physicians, the patients they care for, and the promise of a healthier nation.  To be part of the AMA is to be part of our Mission to promote the art and science of medicine and the betterment of public health.

As an employer, we are dedicated to many efforts, including employee learning and development, social responsibility, diversity and inclusion and wellness. 

Our well-defined culture has strongly impacted the prosperity of our organization.  Our foundational values of Respect, Integrity, Innovation, Impact, Collaboration, Agility and Trust are at the core of our efforts and continue to shape the success of the AMA.

We have an opportunity at our corporate offices in Chicago for a Senior Clinical Content Manager on our Health Solutions team. In this Role you will Act as a clinical resource to the CPT Editorial Panel, the CPT Assistant Editorial Board and other clinical nomenclature and standards work for Health Solutions and the AMA by providing clinical coding expertise and experience to enhance the depth and breadth of AMA and CPT offerings, code application evaluation processes, and integration of CPT and other standards nomenclatures into clinical practice.

Responsibilities: 

  • Clinical Practice liaison for CPT stakeholders including Editorial Panel and Specialty Societies
    • Provide clinical practice expertise to CPT code change applications, to research potential applicability of existing CPT codes with code change applications involving new technology and optimize their effectiveness in the clinical setting
    • Facilitate clinically-focused Code Change Application (CCA) process improvements
      Provide clinical nomenclature and standards expertise to Specialty societies, CPT Editorial Panel, AMA Board of Trustees, AMA Advocacy, AMA’s Integrated Health Model Initiative (IHMI), and other stakeholders; provide analysis and insights to internal stakeholders on issues impacting AMA and the CPT code set
    • Acts as clinical coding lead for Electronic Inquiries and CPT Assistant Editorial board issues, including operative report review; and elevating medical communications with Specialty Societies on complex topics
    • Support communication and implementation of CPT-focused products and initiatives, collaborating with internal and external stakeholders
  • Clinical CPT Representative to outside organizations to support adoption and use of CPT
    • Act as clinical coding subject matter expert to standards setting bodies and organizations
    • Communication with stakeholders from payors, device manufacturers, laboratories, physician practices, and health systems to provide clinically-focused authoritative direction on CPT adoption and interoperability.
  • Analyze and optimize CPT Code Set by proactively identifying gaps in clinical and service coverage 
  • May include other responsibilities as assigned.

Requirements: 

  • Bachelor’s degree required; master’s degree preferred
  • Current U.S-recognized clinical credentials (eg, RN) required; experience in a clinical setting interacting with physicians and clinicians required.
  • Minimum of 7 years coding experience; current coding certification of RHIA, CCS, and/or CCS-P required
  • Must have a thorough working knowledge of ICD-10CM/PCS and CPT coding systems, DRG systems and federal/state regulations regarding reimbursement
  • Knowledge of current clinical nomenclature, classification systems, anatomy, and physiology required; claims processing and physician payer policy knowledge strongly preferred
  • Working knowledge of alternative payment models such as value based payment
  • Must have a working knowledge of medical-legal rules and regulations that govern the confidentiality and release of medical information, with the ability to interpret and implement the standards
  • Oral communication and interpersonal skills, including the ability to represent the AMA to external organizations, interact with high-profile individuals, negotiate sensitive issues, and achieve consensus with stakeholder groups
  • 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
  • A high degree of proficiency in use of computer systems, including Microsoft office
  • Ability to build relationships with internal and external team members and contribute to team performance, including a variety of duties including changing assignments, priorities and deadlines
  • The ability to document and communicate knowledge of procedures and techniques is required
  • Approximately 25% travel required

The AMA offers competitive salaries, including an incentive plan; excellent benefits and progressive technology.  Our office is a business casual environment and we respect work-life balance. Please apply for the position at https://ama-assn.csod.com/ats/careersite/jobdetails.aspx?site=2&c=ama-assn&id=1265&source=AAPC. The American Medical Association is located at 330 N. Wabash Avenue, Chicago, IL 60611 and is convenient to all public transportation in Chicago. 


We are an equal opportunity employer, committed to diversity in our workforce.  All qualified applicants will receive consideration for employment.  As an EOE/AA employer, the American Medical Association will not discriminate in its employment practices due to an applicant’s race, color, religion, sex, age, national origin, sexual orientation, gender identity and veteran or disability status.

THE AMA IS COMMITTED TO IMPROVING THE HEALTH OF THE NATION

 


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