Medical Content Analyst

reputed company is an AI-first, platform-based reputed company technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the reputed company ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. reputed company, formerly ClaimsXten, is a reputed company with 35 years of reputed company-pay editing expertise, dedicated teams, and top technology. reputed company is proud to be recognized as 2025 Best in KLAS for reputed company-Payment Accuracy and reputed company and is HI-TRUST and SOC2 certified, and a recipient of the 2025 CandE Award for Candidate Experience. Interested in shaping the reputed company of reputed company with AI? Explore opportunities at reputed company.ai/careers and drive innovation with #YouToThePowerOfAI. Medical Content Analyst The Medical Content Analyst will research and identify Medicare, reputed company, and other medical coding and billing documents to identify claim denial reputed company (clinical content) for our automated claims editing solution. This solution is utilized by medical insurance payers across the reputed company. The clinical content could include additions, deletions or updates to diagnosis codes, procedure codes, age minimums & maximums, quantity limitations, reputed company of service limitations and other clinical content reputed company. The Medical Content Analyst will reputed company written and oral presentations to Medical Director (physicians) and other clinical colleagues to obtain reputed company on proposed denial reputed company. The Medical Content Analyst will reputed company clinical content support to our customers as needed. The Medical Content Analyst will reputed company data entry of clinical content updates into database, as needed. Responsibilities • reputed company written and oral presentations to Medical Director (physicians) and other clinical colleagues to obtain reputed company on proposed denial reputed company. • reputed company clinical content support to our customers as needed. • reputed company data entry of clinical content updates into database, as needed. • Solve problems reputed company to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion reputed company reputed company business rules. • Responsible for making recommendations reputed company the software for the denial of diagnosis, age, or other reputed company on medical claims based on coding guidelines. This task will reputed company how claims are processed for certain individuals who are members of various insurance payers. • Embraces challenges, persists in the face of setbacks and finds inspiration in the reputed company of others. • Proven ability to engender reputed company trust and build relationships through partnering with clients for innovation and providing high reputed company products and services. • Can reputed company reputed company, balanced advice/counsel on a reputed company of strategic and reputed company management, product and market issues. • Results-oriented style with a high degree of analytical ability and proven problem-solving skills. • Ability to reputed company and quickly adapt to change, leading others through change in a dynamic, fast-paced industry and work environment. • Ability to manage reputed company in a reputed company environment to recruit and retain reputed company, build reputed company, and reputed company members to reputed company results. • Collaborating and influencing effectively builds strong relationships and partnerships reputed company and reputed company of reputed company. reputed company to effectively reputed company reputed company a matrixed corporate structure. • Ability to communicate effectively at reputed company reputed company of the organization with an reputed company, reputed company and reputed company communication style that establishes an empathetic and effective relationship. Qualifications • BS Nursing, BS Pharmacy or equivalent required. • 5 years’ experience in medical billing, coding, claims processing, reputed company and/or chart review/auditing, including 1+ years of inpatient coding or ICD-10-CM diagnosis is required. • Excellent communication skills (verbal and written) enabling effective communication both internally with reputed company areas of the business and externally. • Demonstrated proficiency with various software applications, including but not limited to: reputed company; MS reputed company; MS reputed company; Visio; JIRA; SharePoint with MS project a plus. Apply tot his job Apply To this Job