Remote Medical Content Analyst: Coding & Denial Specialist

MicroSourcing; Philippines; On-site; PHP 391,000 - 614,000; Full time

Benefits offered by this job

Healthcare coverage on day one

Dependent coverage

Paid time-off with cash conversion

Group life insurance

Performance bonuses

Collaborative work environment

Job summary

MicroSourcing is seeking a Medical Content Analyst to research and curate clinical content for automated claims editing. This remote, night-shift role supports US health payer workflows and requires nursing or pharmacy credentials with extensive coding experience.

Ideal candidates hold CCS-P or CPC certifications, are proficient in MS Office and coding tools, and bring strong communication and analytical skills. Competitive rewards are offered, including benefits and career growth opportunities.

Qualifications

• BS Nursing, BS Pharmacy or equivalent.
• 4 years of medical billing, coding, or claims processing experience with US payers.
• Excellent verbal and written communication skills.
• Proficiency with MS Word, MS Excel, MS Access, Visio, JIRA, SharePoint; MS Project a plus.
• AHIMA CCS-P or AAPC CPC certification is required.

Responsibilities

• Research and identify Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated claims editing solution.
• Provide written and oral presentations to Medical Director (physicians) and other clinical colleagues to obtain consensus on proposed denial criteria.
• Provide clinical content support to our customers as needed.
• Perform data entry of clinical content updates into databse, as needed.
• Solve problems related to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion within Lyric business rules.

Skills

Excellent communication skills

US health payer experience

Analytical thinking

Education

BS Nursing or Pharmacy

AHIMA CCS-P

AAPC CPC

Tools

MS Word

MS Excel

MS Access

Visio

JIRA

SharePoint

MS Project

Job description

MicroSourcing is seeking a Medical Content Analyst to research and curate clinical content for automated claims editing. This remote, night-shift role supports US health payer workflows and requires nursing or pharmacy credentials with extensive coding experience.

Ideal candidates hold CCS-P or CPC certifications, are proficient in MS Office and coding tools, and bring strong communication and analytical skills. Competitive rewards are offered, including benefits and career growth opportunities.