
Healthcare Content Specialist
7 days ago
Analyze, gather, and document clinical requirements using best practices as defined by Clinical management.
Validate clinical requirements including content requirements, in collaboration with subject matter experts to guarantee correct coding guideline interpretations.
Collaborate with cross-functional team members to evaluate rule/policy behavior and confirm that solution requirements meet business expectations and align with client implementation standards.
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 clients.
Requirements
- Bachelor's degree in health information management, nursing, or other healthcare-related degree 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: 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.
Benefits
Enjoy above-market compensation, healthcare coverage on day one, paid time-off with cash conversion, group life insurance, and performance bonuses.
Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
Enjoy the balance between work and life that suits you with flexible work arrangements.
Take advantage of opportunities for continuous learning and career advancement.
Be part of a team that celebrates diversity and fosters an inclusive culture.
About Us
We are committed to fostering an inclusive culture that embraces diversity. We celebrate individuality and support opportunities for growth for everyone.
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