Health, Membership, Project Management/Program Development
4 Year Degree
SIR is seeking a Manager of Coding and Reimbursement to join its growing Clinical and Practice Affairs Division. The position requires a motivated, detailed-oriented coding expert with a strong knowledge of the American Medical Association CPT® Editorial Panel process and history of successful, demonstrated payor relations experience. This is an exciting opportunity for a mid-career coding professional interested in advancing to the next level by working closely with staff and physician volunteers to develop and manage coding and reimbursement solutions to enable interventional radiologists to succeed in the practice model of their choice. SIR provides a flexible and highly collaborative work environment where employees contribute their knowledge and expertise while growing and benefiting from the most current thinking in health care, association and member services.
Essential Functions and Responsibilities
Develop and submit Code Change Proposals (CCPs) to the CPT Editorial Panel in conjunction with SIR volunteers and consultants, including both new codes and code revisions required through the RUC RAW process.
Identify NCCI edits that may require SIR comments. Assist the volunteers and the Director in authoring NCCI comment letters, as needed.
Monitor codes scheduled for "sunsetting" by the CPT Editorial Panel and solicit comments, as needed.
Serve as Staff Liaison to the Coding and Reimbursement Subcommittee of the Economics Committee. Assist the Director with staffing the Economics Committee.
Evaluate coding questions from members. Author initial and suggested responses to those questions and solicit committee review. Identify topics that should be communicated to the broader membership through SIR Connect and the IRQ Coding Q&A column.
Lead annual revisions to the SIR "IR Coding Update."
Lead and manage annual coding webinar
Organize and support volunteer travel to CPT Editorial Panel meetings, engagement on CMS Episode-cost Measure meetings, and meetings with CMS and other payers, as needed.
Track committee activities work closely with committee chairs, and documentation upkeep, such as agenda, meeting minutes, and project.
Secondary Functions and Responsibilities
Build and maintain strategically valuable relationships with federal agencies (e.g., CMS), private payors, key organizations, industry, specialty societies, related coalitions, and other medical associations.
Monitor and respond to coverage payment challenges and assist with developing strategies to report on and positively impact reimbursement policy decisions that impact minimally invasive image-guided procedures.
Knowledge, Skills and Abilities
RCC, CIRCC, CPC coding certified preferred and be comfortable developing CPT code applications and working within RUC processes.
Understanding of, and experience with, physician and/or hospital payment, including CPT coding, ICD-10 coding, and HCPCS coding
Strong communication skills, including the ability to work constructively and collaboratively with physician volunteers and to build constructive working relationships with coding staff from other societies.
Ability to multi-task, prioritize, and successfully manage multiple ongoing projects. Possesses a keen eye for details.
Ability to proactively identify issues in coding and reimbursement and propose effective resolutions
Computer skills: proficiency in Microsoft Office
Coding certification (e.g., RCC, CIRCC, or CPC) preferred.
Bachelor's degree preferred.
2-3 years' experience in coding and practice management, either within a procedural practice or at an association representing a procedural specialty.
Experience at the AMA CPT & RUC and with the CPT & RUC processes.
Experience working within a physician volunteer-driven environment and a talent for collaborating with physician volunteers is required.
Experience with claims and reimbursement data (public and private) sets and understanding the application of that data to policy and program development
Special note regarding COVID-19:
Due to the COVID-19 pandemic SIR has announced the decision to allow its staff to work remotely for the remainder of 2020.
About Society of Interventional Radiology
The Society of Interventional Radiology (SIR) is a thriving professional medical society dedicated to optimizing patient care and improving lives through minimally invasive, image-guided treatments. Located in Fairfax, Virginia, SIR represents one of the most innovative, exciting and competitive specialties in medicine today.
SIR is a 501(c)(6) professional association that supports more than 8,100 interventional radiology physicians, trainees, medical students, scientists and clinical professionals. SIR is also comprised of SIR’s 501(c)(3) Foundation, which focuses on research and fundraising to advance the future of interventional radiology. Together SIR and SIR Foundation have nearly 50 staff, combined annual revenues of $12.6 million, and assets of nearly $17 million.