Staff Medical Content Analyst

Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top technology. Lyric is proud to be recognized as 2025 Best in KLAS for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified, and a recipient of the 2025 CandE Award for Candidate Experience. Interested in shaping the future of healthcare with AI? Explore opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI.

Applicants must already be legally authorized to work in the U.S.  Visa sponsorship/sponsorship assumption and other immigration support are not available for this position.

The Medical Content Staff team member is integral to the success of the content development process at Lyric. The team member serves as subject matter expert on clinical content and editing topics. This role is vital to the expansion and effectiveness of our claims editing packages and helps ensure payment accuracy.

ESSENTIAL JOB RESPONSIBILITIES & KEY PERFORMANCE OUTCOMES

• Independently identify new claim edits to increase client offerings by leading analysis of Medicare, Medicaid, Specialty Society, and other correct coding authored publications

• Train new team members on the essentials for new content source identification and viability for ClaimsXten rules and policies

• Foster collaborations between Medical Directors, Clinical Rule Writers, and Secondary Editing team to ensure alignment with ClaimsXten editing best practices

• Author client facing documentation to support implementation of incremental edits

• Maintain and improve collaborative partnership with the analytics team to expedite result reviews for edit profitability

• Provide medical coding and billing subject matter expertise on ClaimsXten editing development approach to external customers

REQUIRED SKILLS & EXPERIENCE

Required:

• Bachelor’s degree in health information management, Nursing or other Healthcare related degree

• American Academy of Professional Coders (AAPC) Certified Professional Coders (CPC) certification OR American Health Information Management Association (AHIMA) Certified Coding Specialist-Physician (CCS-P) are required prior to hire date.

• 8 years or more relevant healthcare experience as a medical coder, medical claims adjuster, medical claims processor, chart reviewer/auditor, denial management analyst, clinical editing analyst, or payment or medical policy analyst with CPT code guidelines & HCPCS coding experience.

•  2 years or more recent ClaimsXten Content Development experience required.

• Initiative-taking and self-directed

• Strong working knowledge of US health insurance payers including commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes), medical coding, and medical billing.

• Knowledge of healthcare reimbursement and payment policies and methodologies.

• Ability to work independently, with minimal direction.

• Strong analytical and critical thinking skills, particularly in reading complex subject material.

• Ability to present extraordinarily complex material verbally in large group settings, as necessary.

• Ability to communicate clearly and concisely in writing.

• Proficiency in Microsoft applications including Excel and Word; Access experience is a plus.

• Conscientiousness

***The US base salary range for this full-time position is:

The specific salary offered to a candidate may be influenced by a variety of factors including but not limited to the candidate’s relevant experience, education, and work location. Please note that the compensation details listed in US role postings reflect the base salary only, and does not reflect the value of the total rewards compensation. ***

Lyric is an Equal Opportunity Employer that strives to create an inclusive environment, empower employees and embrace collaborative success.