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1 week ago
We are seeking a skilled Healthcare Content Specialist to join our team. As a key member of our content creation process, you will be responsible for analyzing and documenting clinical requirements using best practices.
Key Responsibilities- Analyze and gather clinical requirements, ensuring adherence to industry standards and best practices.
- Validate clinical requirements with subject matter experts to guarantee accurate coding guideline interpretations.
- Collaborate with cross-functional teams to evaluate rule/policy behavior and confirm solution requirements meet business expectations.
- Document content requirements to facilitate seamless post-release content maintenance handoffs.
- Serve as a contributor to all user documentation, including rules guides and edit clarifications.
- Assist with end-user training activities and provide requirements subject matter expertise to internal and external clients.
- Bachelor's degree in health information management, nursing, or a related field.
- 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 in payment/reimbursement or medical policy analysis, medical coding, claims processing, chart reviewing/auditing, or clinical editing.
- 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.
- 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.
We are a pioneer in managed services, with over 9,000 professionals across 13 delivery centers. We foster an inclusive culture that celebrates diversity and supports opportunities for growth for everyone.
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