
Senior Medical Content Creator
3 days ago
This role involves creating, reviewing, and maintaining medical content for various applications. The ideal candidate will have a strong background in health information management or a related field.
Key Responsibilities
- Develop and document clinical requirements using established best practices.
- Validate clinical requirements in collaboration with subject matter experts to ensure accurate coding guideline interpretations.
- Work with the Rule Writers team and cross-functional members to evaluate rule/policy behavior and confirm that solution requirements meet business expectations.
- Document content requirements to facilitate immediate post-release content maintenance handoffs.
- Contribute to user documentation, including edits and clarifications.
- Assist with end-user training activities.
- Support Quality Assurance test plan validation.
- Perform user acceptance testing of policies and/or rules.
- Provide requirements subject matter expertise to internal and external clients.
Requirements
- Bachelor's degree in health information management, nursing, or a related healthcare field.
- AAPC Certified Professional Coder (CPC) certification or AHIMA CCS-P or CCS certification required.
- At least 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: able to present complex material clearly via multiple mediums.
- Ability to analyze complex data, identify trends, and assess potential vulnerabilities.
- Superior critical thinking skills.
- Proficiency in Microsoft applications.
Preferred Qualifications
- Knowledge of the Software Development Life Cycle.
- Master's degree in a healthcare-related field.
- Knowledge of healthcare reimbursement and payment policies and methodologies.
- Working knowledge of pre-payment editing and payment integrity is preferred.
About This Opportunity
This is an exciting opportunity to join a dynamic organization that values innovation, teamwork, and professional growth.
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