Staff Associate, Health Policy and Quality Improvement
REPORTS TO: Reimbursement Manager
The Health Policy and Quality Improvement Staff Associate, reports to the Health Policy, Quality, and Reimbursement Manager and works with the Coding and Reimbursement Senior Staff Associate in responding to member coding and reimbursement inquires as well as with providing staff support to the Committee on Healthcare Policy, Coding and Reimbursement (CHPCR). Responsibilities include advising members on proper CPT, CDT, ICD-10 and HCPCS coding and medical and dental billing protocols. This position also assists with the coordination and planning of committee projects, meetings, and occasional conference calls. Tasks may also consist of assisting with the development of agenda items, meeting minutes and recommendations.
The Health Policy and Quality Improvement Staff Associate is also responsible for monitoring Medicare, Medicaid, and private payer policies affecting the specialty including new physician quality improvement measures and activities, as well as new healthcare reform initiatives such as the accountable care organizations, and alternative payment models. The Health Policy and Quality Improvement Staff Associate assists in the development and implementation of quality improvement activities and resources for the specialty. This position is to attend the AMA Physician Consortium for Performance Improvement (PCPI) meetings and other related meetings. The Health Policy and Quality Improvement Staff Associate is responsible for developing content for the Health Policy Perspectives column within the association’s bimonthly newsletter, the AAOMS Today as well as policy related submissions to the AAOMS website, Advocacy E-Newsletter and OMS Communiqué.
The Health Policy and Quality Improvement Senior Associate also assists with the coordination of the in-person and online Coding and Billing courses, providing on-site staff support at the three in-person workshops per year. In addition, the Health Policy and Quality Improvement Staff Associate serves as the staff liaison to the AMA CPT Editorial Panel and assists the Reimbursement Manager with the CPT and ICD-10-CM coding proposal processes.
Provide technical and staff support to the Committee on Healthcare Policy, Coding and Reimbursement
Monitor trends and regulations concerning electronic health record documentation, physician quality assessment, performance measures, and healthcare reform initiatives.
Monitor industry websites for changes made to the medical and dental claim forms
Assist with the maintenance and marketing of online and in-person coding and billing courses, webinars, and resources
Assist with the preparation and coordination of new/revised code proposals
Maintain tracking system on coding and reimbursement trends as well as state and federal insurance codes, policies and regulations
Develop resources and/or publications to assist the membership with coding, reimbursement, health policy and quality improvement measures
Serve as an advisor in responding to member inquiries on issues related to coding and reimbursement
Provide back-up support for the Health Policy, Quality and Reimbursement Manager
Provide phone coverage
Monitor and refresh regulatory compliance page of AAOMS website
Strong verbal and written communication skills
Ability to work independently but collaboratively
Time and Project management skills
Knowledge of Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) coding systems, and Internal Classification of Diseases (ICD) coding system
Knowledge of medical and dental terminology and physiology
General knowledge of OMS, medical or dental clinical practice, specific familiarity with frequently utilized procedures
Knowledge of government and private payor policies
Excellent organizational skills
Understanding of basic marketing skills
Must be able to lift 50 lbs.
Additional Salary Information: Salary Commensurate with experiecne
Established in 1918, the American Association of Oral and Maxillofacial Surgeons (AAOMS), the professional organization representing more than 9,000 oral and maxillofacial surgeons in the United States, supports its members' ability to practice their specialty through education, research, and advocacy. AAOMS members comply with rigorous continuing education requirements and submit to periodic offi...ce examinations, ensuring the public that all office procedures and personnel meet stringent national standards.