Remote Medical Content Analyst - Coding & Denial

MicroSourcing; Manila; On-site; PHP 502,000 - 837,000; Full time

Benefits offered by this job

Healthcare coverage on day one

Sign-on bonus (1 month salary)

Job summary

MicroSourcing is hiring a Medical Content Analyst to research Medicare/Medicaid coding and manage clinical content for an automated claims editing solution, primarily for US payers. Remote night-shift role with strong emphasis on accuracy, collaboration with Medical Director and clients, and data entry of updates.

Role requires BS Nursing, 4+ years in medical billing/coding, and CCS-P or CPC certification; familiarity with MS Office, JIRA, SharePoint, and related tools is preferred.

Qualifications

• BS Nursing required.
• 4 years' experience in medical billing, coding, claims processing, bill and/or chart review/auditing required; prior US payer exposure preferred.
• Experience in denial management or claim review is a plus.
• Excellent written and verbal communication skills across internal and external stakeholders.
• Proficiency with MS Word, Excel, Access, Visio, JIRA, SharePoint; MS Project a plus.
• AHIMA CCS-P or AAPC CPC certification required.

Responsibilities

• Research Medicare, Medicaid and other medical coding/billing documents to identify denial or coverage criteria for automated claims editing.
• Provide written and oral presentations to Medical Director and clinical colleagues to reach consensus on denial criteria.
• Provide clinical content support to customers as needed.
• Data entry of clinical content updates into database as needed.
• Clarify inpatient coding and ICD-10-CM conventions for Lyric business rules.

Skills

Excellent communication

MS Word

MS Excel

MS Access

Visio

JIRA

Sharepoint

MS Project

Education

BS Nursing

AHIMA CCS-P

AAPC CPC

Tools

MS Word

MS Excel

MS Access

Visio

JIRA

Sharepoint

MS Project

Job description

MicroSourcing is hiring a Medical Content Analyst to research Medicare/Medicaid coding and manage clinical content for an automated claims editing solution, primarily for US payers. Remote night-shift role with strong emphasis on accuracy, collaboration with Medical Director and clients, and data entry of updates.

Role requires BS Nursing, 4+ years in medical billing/coding, and CCS-P or CPC certification; familiarity with MS Office, JIRA, SharePoint, and related tools is preferred.