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18 hours ago
As a clinical content specialist, you will be responsible for creating and maintaining high-quality clinical documentation. This involves analyzing clinical requirements using established best practices and collaborating with subject matter experts to ensure accurate and compliant content.
Key Responsibilities:- Analyze and document clinical requirements using established best practices defined by clinical management.
- Validate clinical requirements in collaboration with subject matter experts to ensure correct coding guideline interpretations.
- Collaborate with the content team to evaluate content requirements and confirm solution specifications meet business expectations.
- Document content requirements to promote seamless post-release content maintenance handoffs.
- Contribute to all user documentation and assist with end-user training activities.
- Support quality assurance test plan validation and perform user acceptance testing of policies and/or rules.
- Bachelor's degree in health information management, nursing, or other healthcare-related field required.
- AAPC Certified Professional Coder (CPC) certification or AHIMA CCS-P or CCS certification required.
- 5+ years of relevant healthcare experience with at least 2 years as a payment/reimbursement or medical policy analyst, medical coder, medical claims processor, chart reviewer/auditor, or clinical editing analyst.
- 2+ years of relevant experience with ClaimsXten solution.
- Effective communication skills and ability to analyze complex data, identify trends, and assess potential vulnerabilities.
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