Coding and Payment Policy Officer
Coding and Payment Policy Officer
This individual is the coding and payment policy specialist for the practice of psychology, and brings highly technical skills to support the work of the Senior Advisor to maintain and improve psychology’s position in health care financing systems. The incumbent serves as the APA staff liaison to the American Medical Association (AMA) coding (CPT) and valuation (RUC) committees, and also supports the work of the APA psychology representatives (“Advisors”) to the AMA CPT and RUC committees.
Education and Experience:
- A minimum of a Bachelor’s degree and 3 years of experience in an association, government agency, or the private sector dealing with Medicare, health care payment policy or other health policy issues. A Master’s degree in health policy or a related field is preferred.
- 3 or more years combined direct experience with either the AMA coding (CPT) committee, the AMA valuation (RUC) committee, or both;
- Outreach to government agencies, including the Centers for Medicare and Medicaid Services (CMS);
- Direct experience regarding these highly technical and esoteric issues is critical for this position and cannot be gained through formal education.
- MS Office (Outlook, Excel, Power Point) proficiency
- AMA RUC Database – Advanced User
- CMS Medicare Utilization Databases – Advanced User
- Serves as the APA staff liaison to American Medical Association committees on coding (CPT) and valuation (RUC), which requires in-depth knowledge of highly complex code writing and valuation processes proprietary to the AMA.
- Provides support, research and analysis for the Senior Advisor for Health Care Financing and APA’s representatives, who hold seats on the RUC and CPT HCPAC committees
- Tracks, reviews and analyzes all AMA documents regarding this process, responds to AMA queries, and coordinates related code proposals and surveys
- Tracks national health policy trends, with a particular focus on payment policy and information, through written articles, internet searches and other media.
- Attends related meetings as assigned, such as the Medicare Payment Advisory Commission (MedPAC).
- Researches, analyzes and maintains numerical and statistical data, including payment and utilization data, regarding psychologists’ services in the Medicare program, and other payment programs as appropriate.
- Develops coding and payment resource materials, written articles and other instructional information to inform APA members of health care system payment policies and correct coding procedures.
The American Psychological Association, located at 750 First St NE, Washington D.C., was named a 2014 recipient of the Washington Post Top Workplace. It is metro accessible from the Red Line.
Qualified candidates must apply online through APA’s applicant system and attach a cover letter and resume specifying your salary requirements. Applications that are submitted without both documents are considered incomplete and will not be reviewed for consideration. Once your application is submitted, you will receive a confirmation email. Please make sure to check your Spam folder if you do not receive an email from us.
The American Psychological Association is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected Veteran status, sexual orientation, gender identity, or any other protected categories covered under local law.