Tbc
Medical Content Analyst, Specialist (Pre-Pay Policy)
Remote - Pennsylvania · Full-time
Work authorization required$125k-$188kDetected 30 days ago
Data AnalysisComplianceRecruitingICD-10CommunicationCritical ThinkingPublic SpeakingClaims Management
About the role
- 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?
Responsibilities
- Leads client-facing discussions, serving as subject matter expert explaining ClaimsXten edit logic, content sourcing, rationale and expected outcomes to organizations that utilize Lyric's edits for pre-payment editing.
- Maintains working understanding of Lyric's product behavior to explain and troubleshoot edit outcomes (e.g., triggers, rule logic, content overlaps, configuration dependencies).
- Supports client escalations related to Pre-Payment edits, including analysis of scenarios and articulation of recommended resolution paths.
Requirements
- Minimum of three (3) years experience with ClaimsXten.
- Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top technology.
Nice to have
- Strong knowledge of pre-payment editing, payment policies and payment integrity.
- Takes initiative and works independently with minimal direction.
- Strong communication skills including expert level at presenting extraordinarily complex material via all mediums.
- Possess the ability to analyze complex data, identify trends and assess potential vulnerabilities.
- Superior critical thinking skills.
- Proficiency in Microsoft applications.
- $125,241.00 - $187,862.00
Compensation
- $125,241.00 - $187,862.00
- 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. ***
Equal opportunity
- Lyric is an Equal Opportunity Employer that strives to create an inclusive environment, empower employees and embrace collaborative success.
Visa & Work Authorization
- 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.
This listing is sourced directly from Tbc's careers page and normalized into a canonical job model.