Senior Clinical Documentation Specialist

4 days ago

Manila, National Capital Region, Philippines beBeeMedical Full time $60,000 - $80,000

Medical Content Specialist

We're seeking a detail-oriented Medical Content Specialist to join our team. In this role, you will be responsible for analyzing and documenting clinical requirements, validating content, and collaborating with subject matter experts to ensure accurate coding guideline interpretations.

The ideal candidate will have a strong understanding of healthcare reimbursement and payment policies, as well as experience in medical writing and editing. You should be able to analyze complex data, identify trends, and assess potential vulnerabilities.

Key Responsibilities:
  • Analyze, gather, and document clinical requirements using best practices
  • Validate clinical requirements, including content requirements, in collaboration with subject matter experts
  • Collaborate with Rule Writers team and cross-functional team members to evaluate rule/policy behavior
  • Document content requirements to promote immediate post-release content maintenance handoffs
  • Serve as a contributor to all user documentation (edit clarifications, Rules Guide, etc.)
  • Assist with end-user training activities
  • Support Quality Assurance test plan validation
  • Perform user acceptance testing (UAT) 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 other healthcare-related field required
  • American Academy of Professional Coders (AAPC) Certified Professional Coders (CPC) certification or American Health Information Management Association (AHIMA) Certified Coding Specialist-Physician (CCS-P) or Certified Coding Specialist (CCS) required
  • 5 years or more relevant healthcare experience, with at least 2 years' experience as a payment/reimbursement or medical policy analyst, medical coder, medical claims processor, chart reviewer/auditor, or clinical editing analyst
  • 2 years or more relevant experience with ClaimsXten solution
  • Must be initiative-taking and self-directed, with ability to work independently with minimal direction
  • Effective communication skills: must be an expert at presenting complex material via all mediums
  • Analytical skills: must possess the ability to analyze complex data, identify trends, and assess potential vulnerabilities
  • Superior critical thinking skills
  • Proficiency in Microsoft applications
Preferred Qualifications:
  • Knowledge of Software Development Life cycle
  • Master's degree in healthcare-related field
  • Knowledge of healthcare reimbursement and payment policies and methodologies
  • Working knowledge of pre-payment editing and payment integrity
Benefits:

This is a full-time position that offers a competitive salary and benefits package, as well as opportunities for professional growth and development.

We offer a dynamic and supportive work environment, with a team of experienced professionals who are passionate about delivering high-quality results.

Others:

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Please submit your application, including your resume and cover letter, to be considered for this exciting opportunity.

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