Medical Content Analyst, Automation

lyric.ai; Manila; On-site; PHP 3,597,122 - 4,796,163; Full time

Job summary

A leading AI solutions company in Manila is seeking a Medical Content Analyst to review and validate AI-generated coding and billing data. The successful candidate will have significant experience in healthcare coding, strong analytical skills, and familiarity with AI-driven tools. Responsibilities include providing timely feedback to improve AI model performance and participating in the development of coding guidelines. Bachelor's degree and relevant certifications are required for this full-time position.

Qualifications

• Active AAPC Certified Professional Coders (CPC) certification is required.
• Minimum of 5 years of relevant healthcare experience, including 3 years in medical coding.
• Previous experience using AI tools in a professional environment.

Responsibilities

• Review and validate AI generated claim data.
• Provide feedback to AI for performance improvement.
• Participate in developing coding guidelines for AI.

Skills

Proficiency in applying CPT coding conventions

Understanding of US health insurance payers

Strong grasp of medical terminology

Analytical and critical thinking skills

Education

Bachelor’s degree in health information management or related field

Master’s degree in business or healthcare related field

Tools

Computer-Assisted Coding (CAC)

Natural Language Processing (NLP) platforms

Microsoft applications

Job description

Medical Content Analyst, Automation page is loaded## Medical Content Analyst, Automationlocations: Manila, Philippinestime type: Full timeposted on: Posted 3 Days Agojob requisition id: JR560and drive innovation with #YouToThePowerOfAI.Essential Job Responsibilities & Key Performance Outcomes* Review and validate AI generated CPT, HCPCS, ICD10CM and other claim data set elements.* Verify coding or billing guidelines and other data extracts from AI to confirm accuracy in accordance with coding parameters.* Identify any AI data extract anomalies or defects.* Provide accurate and timely feedback to AI to improve model performance.* Remain informed with medical coding and billing regulatory changes to contribute continuous improvement of AI tools.* Participate in the development of coding guidelines for AI-assisted workflows.* Validate criteria for policy or rule suitability.* Serve as a subject matter expert (SME) in cross-functional team with Clinical, technical, and product stakeholders.Required Qualifications* Bachelor’s degree in health information management, Nursing or other Healthcare related degree required* Active 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)* Minimum of 5 years of relevant healthcare experience, including at least 3 years in medical coding, chart review, auditing, or abstraction. Must demonstrate proficiency in applying CPT, ICD-10-CM, and HCPCS coding conventions, including translating clinical documentation into appropriate codes.* Understanding of US health insurance payers including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes)* Strong grasp of medical terminology and human anatomy* Familiarity with AI-driven tools such as Computer-Assisted Coding (CAC) or Natural Language Process (NLP) platforms* Proficiency in Microsoft applicationsPreferred Qualifications* Master’s degree in business or healthcare related field* Previous ClaimsXten experience* Previous experience using AI tools in a professional environment* Previous experience at CMS (Medicare or Medicaid) or at a Health Insurance plan* Ability to convey complex technical information across various formats (written, verbal, visual)* Comfortable working in agile, fast-paced, and collaborative environments* Willing to participate in target AI training programs* Self-motivated and proactive, with the ability to work independently and with minimal supervision* Strong analytical and critical thinking skills