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Manager, Coding Policy
The American College of Obstetricians and Gynecologists (ACOG), a membership organization dedicated to the advancement of women’s health care in Washington, DC, is currently seeking a Manager, Coding Policy. The Manager, Coding Policy is responsible for managing the Current Procedural Terminology (CPT) and International Classification of Diseases, Version 10 – Clinical Modification (ICD-10-CM) coding education program for ACOG members and practices. Responsible for research and design criteria to determine policy guidelines used in review of medical claims and appeals to ensure medically appropriate services are reimbursed. Recommends policy and processes that ensure alignment with company guidelines and nationally accepted medical/coding standards. Identifies the proper codes to use for claims processing. Responds to questions and communicates details about policy and guidelines. Cover Letter Required.
As a result of COVID-19, ACOG employees are working in a temporary remote capacity. This is temporary, and normal business hours and in-office duties will return to normal once deemed it is safe to return into the office. Employees are expected to return to ACOG’s National office located at 409 12th, Southwest Washington DC, 20024.
Key Duties and Responsibilities.
- Direct the development, implementation and dissemination of educational products and assistance for ACOG members, staff, grants and other stakeholders on correct coding, billing, appeals, and reimbursement processes.
- Assist with the initiatives of the ACOG Committee on Health Economics & Coding.
- Represent ACOG in ICD-10-CM Coordination and Maintenance Committee meetings, the AMA CPT Editorial Panel, the AMA RUC and other external meetings related to coding policy that impact obstetrician-gynecologists.
- Manage and provide recommendations for ICD-10-CM coding applications.
- Manage responses to governmental agencies and other stakeholders issuing policies related to medical coding, billing and reimbursement.
- Supervise and manage assigned staff. Provide guidance, mentoring, and leadership. Create an inclusive environment, hold employees accountable, ensue completion of assigned task, resolve conflicts, conduct annual performance evaluations and provide professional development opportunities.
- Perform other duties as assigned.
- Bachelor’s degree is required.
- 5-7 years or related experience
- Demonstrated knowledge in CPT and ICD-10-CM coding is required. Experience with AMA CPT and/or RUC a preferred.
- Appropriate certification from national organization such as RHIA, RHIT, CIC, CPC, COC, or CCS and/or knowledge of coding for obstetrics and gynecologic services is a plus.
- Strong leadership skills, with the ability to organize, work independently and work cooperatively with others. Attention to detail is critical.
- Strong written and verbal communication skills. Public speaking experience a plus. Requires ability to translate technical information into lay language. Previous experience with coding education and medical writing desired.
- Out-of-town travel on weekends and weekdays will be required at least 8 times per year. Evening teleconferences occur frequently.
Home to more than 58,000 women’s health care professionals, the American College of Obstetricians and Gynecologists (ACOG) is a membership organization leading advancements in women’s health. When you become part of the ACOG team, you’re part of an organization that values communicating evidence-based, peer-reviewed information about women’s health to members and the general public. ACOG supports its members by maintaining authoritative clinical guidance, providing continuing medical education resources, patient education materials and more. Together with our members, we are working to transform the future of women’s health by delivering a compelling member experience, supporting the ob-gyn profession, and advocating for improved women’s health.
Paid Parental Leave – Breastfeeding Friendly Workplace – Flexible work schedule – Commuting Allowance – Generous Paid Time Off – Holiday Pay – Life Insurance – Community Volunteering Opportunities – Generous 401(k) Company Contributions – Medical, Dental, and Vision Insurance – Learning Opportunities and Tuition Reimbursement – Company-Sponsored Team Outings – and more!
ACOG is an EEO employer committed to providing equal employment opportunities to all applicants and employees. As a federal government contractor and in accordance with applicable laws, regulations, and Executive Orders, the College takes affirmative action to ensure that applicants and employees covered are not discriminated against because of their race, color, religion, national origin, sex (gender), age, disability, pregnancy, marital status, sexual orientation, personal appearance, gender identity or expression, family responsibilities, political affiliation, veteran status, genetic information, or any other characteristic that is protected by applicable law. For more information about your equal employment opportunity rights, please view this poster: EEO is the Law. The College also participates in E-Verify.
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Job posted: 2021-12-26