Content Solutions Analyst I

Job Summary

A company is looking for a Content Solutions Analyst I (FWA).

Key Responsibilities

• Provide coding and industry expertise for clinical coding edits and business logic development
• Conduct multi-faceted analytics and maintain current knowledge of industry standards and practices
• Train and support internal teams on rule logic and execution processes

Required Qualifications

• Bachelor's degree in a quantitative or programming-focused field and 5 years of practical experience
• 3+ years of experience in internet-based research related to medical codes
• Experience with large datasets and advanced SQL skills
• Healthcare experience related to medical claims processing is required
• Familiarity with claims payment methodologies and medical policy rules