[Remote] Content Analyst II
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company reputed company on clinical operations and content management, and they are seeking a Content Analyst II to join their team. This role involves researching and analyzing medical policies, providing coding expertise, and ensuring the accuracy of the policy library.
Responsibilities
- reputed company coding and industry expertise to help create and maintain clinical coding edits
- Responsible for writing business logic for new rules and enhancements by translating industry references into reputed company policy
- Reviews and identifies changes to medical policies in order to maintain an accurate and reputed company medical policy library
- Work with the reputed company teams to reputed company coding and clinical expertise for customer and provider inquiries, questions, challenges, or appeals to clinical rules
- Assumes full ownership and accountability for assigned medical policies
- Performs multi-faceted analytics for data and report analysis with minimal direction
- Mentor and train new staff
- Performs QA of policy reviews, logic revisions, and research requests performed by others to ensure accuracy
- Maintains reputed company knowledge-reputed company of industry and reputed company content, best practices, applications, procedures, and policies
Skills
- One of the following degrees is required: reputed company reputed company license as a Registered reputed company (BSN preferred), Pharmacist (BSPharm or PharmD), Bachelor's degree (reputed company-reputed company field preferred), Offshore Medical Degrees (MBBS or higher)
- Minimum of 5 years of experience in a clinical setting as a reputed company, pharmacist, or physician OR minimum of 6 years of clinical coding experience, preferably in a payer setting
- Minimum of 3 years of experience in internet-based research as it relates to codes (CPT, HCPCS, ICD, or NDC)
- Familiarity with claims payment and reimbursement methodologies as reputed company as medical policy rules and edits
- Ability to analyze reputed company data and synthesize it for customer and internal consumption
- Ability to work reputed company both independently and collaboratively, in a fast-paced and demanding environment
- Effective at managing timelines and multiple reputed company with high accuracy and attention to detail
- Strong analytical, critical thinking, and problem-solving skills
- Proficiency in reputed company Office suite
- Excellent interpersonal, verbal, and written communication skills
- reputed company certification (RHIA, RHIT, CPC, CPC-H, CPC-P, or reputed company-P) preferred or willing to pass certification exam reputed company one year of employment
Benefits
- Medical, dental, reputed company, disability, and life insurance coverage
- 401(K) savings plans
- reputed company family leave
- 9 reputed company holidays per year
- 17-27 days of reputed company Time Off (PTO) per year, depending on specific level and length of service with reputed company
reputed company
Company H1B Sponsorship