PAYMENT AND PRACTICE MANAGEMENT MANAGER – DC, IL, OR REMOTE
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Position Summary:
The Payment and Practice Management Manager is responsible for addressing payment and practice management issues with government and private payers:
- Providing analysis and developing recommendations for strategic and tactical courses of action on matters related to payers’ coverage and claims processing policies impacting payments to anesthesiologists.
- Managing the ASA’s CPT® and AMA/Specialty Society RVS Update Committee (RUC) activities.
- Providing practice management tools and resources to assist ASA members in their practices.
Providing other analytical and technical support service to the Director of Payment and Practice Management as directed.
Primary Position Responsibilities:
- Assists the Director of Payment and Practice Management with coding and payment-related issues and projects, including but not limited to AMA/Specialty Society RVS Update Committee (RUC) surveys, CPT coding proposals, other ASA coding resources.
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- Manages ASA’s AMA/Specialty Society RVS Update Committee (RUC) activities, including but not limited to the development and administration of RUC surveys and working closely with other members of the ASA RUC team to craft recommendations based on survey results to the RUC.
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- Monitors and informs ASA membership on issues related to National Correct Coding Initiative edits, ICD-10-CM changes, CPT/HCPCS usage and other coding/payment and compliance matters. Analyzes and draft ASA responses to proposed updates to the National Correct Coding Initiative (NCCI) and to Medically Unlikely Edits (MUE).
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- Tracks and analyze coding payment and coverage issues for Medicaid/Medicare programs. Monitors Medicare Administrative Contractors’ (MAC) issuance of draft Local Coverage Determinations (LCDs). Alert local Contractor Advisory Committee (CAC) representatives to proposed coverage policies and provide assistance as needed to develop responses.
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- Assists with analysis of relevant CMS proposed and final rules on issues that involve coding and payment.
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- Provides expert anesthesia and pain medicine coding/billing responses to complex billing and coding inquiries from or on behalf of ASA members. Track, report, and present inquiries to Department Director.
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- Develops, implements, and assists with the promotion of toolkits, webinars, and other practice management resources to help improve the efficiency, effectiveness, and profitability of member practices.
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- Performs analysis of relevant CMS proposed and final rules on issues that involve payment and practice management.
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- Ensures that Payment and Practice Management content on ASA website is active, accurate and timely. Assists in development of Timely Topic articles on issues relevant to payment and practice management on a monthly basis.
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- Responds to member questions pertaining to payment and coding and compliance concerns.
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- Provides staff support to assigned ASA Committee(s). Develop and maintain knowledge of the committee’s areas of responsibility and work effectively with committee chairs and members. Draft minutes and track follow up items.
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Position Qualifications:
- Bachelor’s degree or Master’s degree in a related field highly desired.
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- Minimum 5 years of experience in a related field, including recent experience in CPT and RUC processes.
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- Strong understanding of specialty society or medical practice (anesthesia /pain preferred) environment.
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- Knowledge of Medicare and private payer policies.
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- Understanding of CMS regulatory process.
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- Medical coding (Anesthesia coding) experience is preferred.
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- Strong research and writing skills required.
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- Analytical ability related to payment policies promulgated by government and commercial payers.
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- Ability to communicate effectively with a variety of people, including physician members, payers, coders, and staff.
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- Communicate clearly and consistently (verbal and written) to a variety of audiences.
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- Ability to work well under tight deadlines and with minimal supervision.
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- Excellent decision making and judgment.
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Please follow the link to apply:
https://recruiting2.ultipro.com/AME1090ASAN/JobBoard/79dc62ee-25a8-40d7-92fe-8327b8e4afb5/Opportunity/OpportunityDetail?opportunityId=6959506a-0a83-4820-b156-f31995e035b2
