Medical Coding and Regulatory Affairs Associate-Washington, DC
American College of Physicians
Washington, DC, USA
Strategy - Planning
The Governmental Affairs & Public Policy Division of the American College of Physicians (ACP) is looking to hire a Medical Coding and Regulatory Affairs Associate to work in its Washington, DC office. ACP, a national organization of internists, is the largest medical specialty organization and the second-largest physician group in the United States with 154,000 members worldwide.
The Medical Coding and Regulatory Affairs Associate will work with the Director, Regulatory Affairs to support ACP’s coding and payment policy efforts and provide comprehensive written research related to the Physician Fee Schedule and value-based payment and delivery system programs. Primary responsibilities will include:
Serve as liaison to CPT editorial panel and ICD-10 committees. Represent ACP at meetings of the panels, provide staff support for College representatives, and develop coding proposals to benefit internal medicine.
Analyze impact of federal regulatory and legislative proposals, develop ACP policy positions, and assist with quality, health information technology (HIT), and related issues, as needed.
Maintain extensive knowledge on Medicare policies relating to medical review, skilled nursing, homebound care, hospices, durable medical equipment, correct coding, contractor and carrier responsibilities, appeals processes, and other technical Medicare issues.
Develop and maintain communication channels with CMS, other federal and state agencies, and other relevant organizations (e.g., MedPAC, GAO) to help ACP provide feedback on activities that relate to coding and payment.
Serve as a lead point of contact for members in resolving problems with Medicare and other third party payers, primarily in the areas of payment policy.
Provide staff support for the Medical Practice and Quality Committee (MPQC), Subspecialty Advisory Group on Socioeconomic Affairs (SAGSA), the Coding and Payment Policy (CPP) sub-committee and the Council of Subspecialty Societies (CSS).
A bachelor’s degree is required; a master's degree in public health, public policy, or health services administration highly desired. Interested candidates should have prior experience in medical coding with a broad understanding of the regulatory environment and the policy implications of medical coding; or, have experience with private and public payers.
Knowledge of federal regulatory and legislative processes with emphasis on the Physician Fee Schedule and other value-based payment and delivery system programs, and demonstrated policy analysis experience is strongly preferred. Experience in government relations and physician issues regarding Medicare and private payer policies and health information technology are a plus.
ACP is an Equal Opportunity Employer that does not discriminate against any of the following classes: veterans, any disability, national origin, race, color, religion, sex, sexual orientation, gender identity.
The American College of Physicians is the largest medical specialty organization and the second-largest physician group in the United States. ACP members include 152,000 internal medicine physicians (internists), related subspecialists, and medical students. Internists specialize in the prevention, detection, and treatment of illness in adults.