Content Solutions Analyst

Job Summary

A company is looking for a Content Solutions Analyst I.

Key Responsibilities

• Conduct research, quality assurance, and opportunity analysis for new medical policies
• Analyze current medical policies and assist in defining additional logic and algorithms for payment policy
• Provide coding and claims processing expertise to create clinical coding policies and enhancements

Required Qualifications

• BS in Nursing, Pharmacist (BSPharm or PharmD), or equivalent degree
• RHIA, RHIT, CPC, CPC-H, CCS-P, SAFe, CPhT, or willingness to obtain certification within one year
• 3 years of experience in clinical/retail settings or clinical coding in payer settings
• 5 years of experience in rule requirement gathering and software enhancements
• Experience in Behavioral Health and/or Laboratory payment integrity rule development is preferred