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Lyric - Clarity in motion.

Medical Content Analyst, Specialist – Pre-Pay Policy

Lyric - Clarity in motion.

Medical Content Analyst providing expertise on ClaimsXten clinical content and leading client discussions. Collaborating cross-functionally to enhance pre-payment editing processes.

Posted 6/16/2026full-timeRemote • Pennsylvania • 🇺🇸 United StatesSeniorLead💰 $125,241 - $187,862 per yearWebsite

About the role

Key responsibilities & impact
  • Advises on ClaimsXten clinical content and rules/policies, including documentation requirements, client customizations, and configuration options.
  • 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).
  • Reviews data analytics to assess impacts to content changes and new CPT/HCPCS/ICD10CM code set updates.
  • Supports client escalations related to Pre-Payment edits, including analysis of scenarios and articulation of recommended resolution paths.
  • Serves as Clinical liaison across Clinical Operations, Client Success, and other cross functional Lyric teams to increase value of ClaimsXten edits to clients.

Requirements

What you’ll need
  • 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) or Certified Coding Specialist (CCS).
  • Minimum of twelve (12) years relevant healthcare experience, with at least three (3) years health insurance payer experience as a payment/reimbursement or medical policy analyst, medical claims processor, chart reviewer/auditor, or clinical editing analyst.
  • Minimum of three (3) years experience with ClaimsXten.
  • Master’s degree in business or healthcare related field (preferred).
  • Previous experience as a medical coder (preferred).
  • Previous experience at a Health Insurance plan (preferred).
  • Strong knowledge of pre-payment editing, payment policies and payment integrity (preferred).
  • Extensive demonstrated understanding 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 (preferred).
  • Takes initiative and works independently with minimal direction (preferred).
  • Strong communication skills including expert level at presenting extraordinarily complex material via all mediums (preferred).
  • Possess the ability to analyze complex data, identify trends and assess potential vulnerabilities (preferred).
  • Superior critical thinking skills (preferred).
  • Proficiency in Microsoft applications (preferred).

Benefits

Comp & perks
  • 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Lyric - Clarity in motion. Website LinkedIn All Job Openings 201 - 500 employees ⚕️ Healthcare Insurance 💳 Fintech ☁️ SaaS Healthcare Insurance
  • Fintech
  • SaaS Lyric is a leading healthcare technology company focused on payment integrity and accuracy solutions. With over 30 years of experience, Lyric aims to simplify the business of care by leveraging machine learning and predictive analytics to empower health plan payers. The company provides a range of solutions, including Lyric 42 Platform, Pre-Pay Editing, Diagnostics Module, Coordination of Benefits, Concept Libraries, and LyricIQ, which combines AI-powered payment accuracy services. Additionally, Lyric focuses on transparency and responsibility in technology development, ensuring enhanced payment accuracy, administrative efficiencies, and reduced provider abrasion. As a trusted partner in the healthcare industry, Lyric continues to deliver cutting-edge technologies at the crossroads of healthcare and fintech, supporting health plans and providers in the shift to value-based care. Medical Content Analyst, Specialist – Pre-Pay Policy 🔥 43 minutes ago 🔔 Pennsylvania – Remote 💵 $125.2k - $187.9k / year ⏰ Full Time 🟠 Senior 🔴 Lead ✍️ Content Marketing Manager Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
  • Advises on ClaimsXten clinical content and rules/policies, including documentation requirements, client customizations, and configuration options.
  • 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).
  • Reviews data analytics to assess impacts to content changes and new CPT/HCPCS/ICD10CM code set updates.
  • Supports client escalations related to Pre-Payment edits, including analysis of scenarios and articulation of recommended resolution paths.
  • Serves as Clinical liaison across Clinical Operations, Client Success, and other cross functional Lyric teams to increase value of ClaimsXten edits to clients. 🎯 Requirements
  • 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) or Certified Coding Specialist (CCS).
  • Minimum of twelve (12) years relevant healthcare experience, with at least three (3) years health insurance payer experience as a payment/reimbursement or medical policy analyst, medical claims processor, chart reviewer/auditor, or clinical editing analyst.
  • Minimum of three (3) years experience with ClaimsXten.
  • Master’s degree in business or healthcare related field (preferred).
  • Previous experience as a medical coder (preferred).
  • Previous experience at a Health Insurance plan (preferred).
  • Strong knowledge of pre-payment editing, payment policies and payment integrity (preferred).
  • Extensive demonstrated understanding 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 (preferred).
  • Takes initiative and works independently with minimal direction (preferred).
  • Strong communication skills including expert level at presenting extraordinarily complex material via all mediums (preferred).
  • Possess the ability to analyze complex data, identify trends and assess potential vulnerabilities (preferred).
  • Superior critical thinking skills (preferred).
  • Proficiency in Microsoft applications (preferred). Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Content Assistant – Temporary 🔥 5 hours ago TCI (Teachers' Curriculum Institute) 51 - 200 📚 Education Website LinkedIn All Job Openings Content Assistant supporting the Product Team at TCI. Providing entry-level support in managing digital assets remotely. 🇺🇸 United States – Remote 💵 $18 - $25 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior ✍️ Content Marketing Manager VP, Clinical Solutions Content 🔥 7 hours ago RELX 10,000+ employees 🏢 Enterprise 🔬 Science Website LinkedIn All Job Openings Lead and shape global clinical content strategy in a fast-evolving healthcare environment. Oversee publishing and digital content for medical reference programs across global and local portfolios. 🇺🇸 United States – Remote 💵 $136.1k - $303.3k / year ⏰ Full Time 🔴 Lead ✍️ Content Marketing Manager Brand and Content Specialist 🔥 7 hours ago saas.group 51 - 200 ☁️ SaaS 🏢 Enterprise 🤝 B2B Website LinkedIn All Job Openings Brand and Content Specialist joining marketing team at saas.group to enhance Prerender's visibility in the AI and SEO markets. Creating engaging content, managing SEO team, and ensuring consistent brand narrative. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior ✍️ Content Marketing Manager Content Marketing Manager 🔥 8 hours ago Conversica 201 - 500 🤖 Artificial Intelligence 🤝 B2B ☁️ SaaS Website LinkedIn All Job Openings Content Marketing Manager creating engaging content for marketing initiatives. Collaborating with leadership and teams to support company growth and visibility in a remote-first environment. 🇺🇸 United States – Remote 💵 $120k - $140k / year 💰 $25M Series E on 2022-04 ⏰ Full Time 🟡 Mid-level 🟠 Senior ✍️ Content Marketing Manager 🦅 H1B Visa Sponsor VP, Clinical Solutions Content 🔥 13 hours ago RELX 10,000+ employees 🏢 Enterprise 🔬 Science Website LinkedIn All Job Openings VP leading global clinical content strategy for Medical Reference programs in a fast-evolving healthcare environment. Overseeing publishing for Clinical Solutions content across various programs and products. 🇺🇸 United States – Remote 💵 $136.1k - $303.3k / year ⏰ Full Time 🔴 Lead ✍️ Content Marketing Manager View More Content Marketing Manager Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Hard Skills & Tools
ClaimsXtenCPT codingHCPCS codingICD10CM codingdata analyticsmedical codingmedical billingpre-payment editingpayment policiespayment integrity
Soft Skills
communication skillscritical thinkinganalytical skillsinitiativeindependencepresentation skillstroubleshootingclient liaisoncollaborationproblem-solving
Certifications
Certified Professional Coders (CPC)Certified Coding Specialist-Physician (CCS-P)Certified Coding Specialist (CCS)