Senior Medical Content & Coding Analyst

Magnum Transaction Sub Philippines, LLC.; Manila; On-site; PHP 900,000 - 1,300,000; Full time

Job summary

Lyric is a trusted leader in healthcare decision intelligence. The platform blends responsible AI with clinical, payment, regulatory, and policy expertise to deliver auditable insights in real time across claims workflows. It helps health plans pay faster and more accurately while maintaining control.

Lyric supports hundreds of millions of lives and collaborates with top health plans to reduce waste, boost efficiency, and improve payment accuracy across real-time processing environments.

Qualifications

• BS Nursing, BS Pharmacy or equivalent with 5 years’ medical billing, coding, claims processing, bill and/or chart review/auditing.
• Experience with US health insurance payers in claims, appeals or coding capacity.
• Experience in denial management or claim review is a plus.
• Excellent verbal and written communication with internal and external stakeholders.
• Proficiency in Word/Excel/Access/Visio/JIRA/SharePoint; MS Project a plus.
• CCS-P or CPC certification required.

Responsibilities

• Provide additions, deletions or updates to diagnosis codes, procedure codes, age minimums & maximums, quantity limitations and other clinical content criteria.
• 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 customers as needed.
• Perform data entry of clinical content updates into database, as needed.
• Solve problems related to interpretation of inpatient coding or ICD-10-CM guidelines for Lyric business rules.

Skills

Communication skills

Analytical thinking

Independent worker

AI training participation

Education

BS Nursing, BS Pharmacy or equivalent

AHIMA CCS-P or CPC certification

Tools

MS Word

MS Excel

MS Access

Visio

JIRA

SharePoint

MS Project

Job description

Lyric is a trusted leader in healthcare decision intelligence. The platform blends responsible AI with clinical, payment, regulatory, and policy expertise to deliver auditable insights in real time across claims workflows. It helps health plans pay faster and more accurately while maintaining control.

Lyric supports hundreds of millions of lives and collaborates with top health plans to reduce waste, boost efficiency, and improve payment accuracy across real-time processing environments.