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Clinical Content Specialist at Lyric - ApplyBlast

Clinical Content Specialist

Lyric

27 days ago

3.9 on Glassdoor

Manila, Metro Manila, Philippines

Onsite

Full Time

Senior

0 applicants

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About this role

This role involves managing clinical content criteria, including diagnosis and procedure codes, to support accurate medical claim processing and denial management. The specialist collaborates with medical directors and clinical colleagues to establish consensus on denial criteria and provides expert support to customers. The position requires interpreting coding guidelines and making recommendations within software to ensure compliance and efficiency.

Responsibilities

Provide additions, deletions, or updates to diagnosis and procedure codes
Present proposed denial criteria to Medical Directors and clinical colleagues
Solve problems related to inpatient coding and ICD-10-CM coding conventions

Skills

Qualifications

BS NursingBS PharmacyAHIMA Certified Coding Specialist – Physician (CCS-P)AAPC Certified Professional Coder (CPC)

About Lyric

lyric.ai

Headquarters

Newtown Square, Pennsylvania, United States

Company Size

201-500 employees

Founded

1989

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Lyric is a healthcare decision intelligence company that helps health plans make more consistent, explainable, and accurate payment decisions grounded in policy and clinical expertise. Its flagship Lyric42 platform reconciles signals from editing, coding review, and other solutions into a single, rationale-backed recommendation for claims payment. Nine of the top 10 U.S. health plans use Lyric to verify claims before payment, collectively realizing $20B in annual savings.