Clinical Content Analyst

Job Summary

A company is looking for a Content Solutions Analyst I.

Key Responsibilities

• Conduct research and quality assurance for new medical policies and analyze current policies
• Provide coding and claims processing expertise to develop clinical coding policies
• Collaborate with internal teams to ensure clarity on content solutions and assist in rule development

Required Qualifications

• BS in Nursing, Pharmacy (BSPharm or PharmD), or equivalent degree
• RHIA, RHIT, CPC, CPC-H, CCS-P, SAFe, CPhT certification or willingness to obtain within one year
• 3 years of experience in a clinical/retail setting or clinical coding in a payer setting
• 5 years of experience in rule requirement gathering and development
• Proficiency in Microsoft Office Suite