Medical Content Analyst, Automation
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Before you apply
LocationManila, Philippines
Typefull-time
SeniorityMid
Experience5+ yrs
Company size14+ people
PostedAug 27, 2026 · 2mo ago
Verified live2d ago
At a glanceSummarised by Seekless from the posting.
Bachelor's degree in health information management, Nursing or other Healthcare related degree
Active AAPC CPC or AHIMA CCS-P or CCS certification
Minimum of 5 years of relevant healthcare experience, including at least 3 years in medical coding, chart review, auditing, or abstraction
Proficiency in applying CPT, ICD-10-CM, and HCPCS coding conventions
Understanding of US health insurance payers including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes)
Strong grasp of medical terminology and human anatomy
Familiarity with AI-driven tools such as Computer-Assisted Coding (CAC) or Natural Language Process (NLP) platforms
Proficiency in Microsoft applications
Master's degree in business or healthcare related field
Previous ClaimsXten experience
Previous experience using AI tools in a professional environment
Previous experience at CMS (Medicare or Medicaid) or at a Health Insurance plan
Ability to convey complex technical information across various formats (written, verbal, visual)
Comfortable working in agile, fast-paced, and collaborative environments
Willing to participate in target AI training programs
Self-motivated and proactive, with the ability to work independently and with minimal supervision
Strong analytical and critical thinking skills
Skills
Microsoft Office
ClaimsXten
AI tools
CAC
NLP
About the company
Lyric is the trusted leader in healthcare decision intelligence. Built on more than 35 years of proven results, Lyric combines responsible AI with clinical, payment, regulatory, and policy expertise to deliver transparent, auditable insights in milliseconds across real-time claims workflows. Lyric augments human decision-making so health plans can make faster, more accurate payments while maintaining full control. Today, Lyric supports 200 million lives, with nine of the top 10 U.S. health plans relying on its platform to reduce waste, improve efficiency, and support accurate payments.
Responsibilities
Essential Job Responsibilities & Key Performance Outcomes
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Review and validate AI generated CPT, HCPCS, ICD10CM and other claim data set elements.
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Verify coding or billing guidelines and other data extracts from AI to confirm accuracy in accordance with coding parameters.
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Identify any AI data extract anomalies or defects.
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Provide accurate and timely feedback to AI to improve model performance.
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Remain informed with medical coding and billing regulatory changes to contribute continuous improvement of AI tools.
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Participate in the development of coding guidelines for AI-assisted workflows.
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Validate criteria for policy or rule suitability.
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Serve as a subject matter expert (SME) in cross-functional team with Clinical, technical, and product stakeholders.
Requirements
Required Qualifications
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Bachelor’s degree in health information management, Nursing or other Healthcare related degree required
•
Active 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 5 years of relevant healthcare experience, including at least 3 years in medical coding, chart review, auditing, or abstraction. Must demonstrate proficiency in applying CPT, ICD-10-CM, and HCPCS coding conventions, including translating clinical documentation into appropriate codes.
•
Understanding of US health insurance payers including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes)
•
Strong grasp of medical terminology and human anatomy
•
Familiarity with AI-driven tools such as Computer-Assisted Coding (CAC) or Natural Language Process (NLP) platforms
•
Proficiency in Microsoft applications
Nice to have
Preferred Qualifications
•
Master’s degree in business or healthcare related field
•
Previous ClaimsXten experience
•
Previous experience using AI tools in a professional environment
•
Previous experience at CMS (Medicare or Medicaid) or at a Health Insurance plan
•
Ability to convey complex technical information across various formats (written, verbal, visual)
•
Comfortable working in agile, fast-paced, and collaborative environments
•
Willing to participate in target AI training programs
•
Self-motivated and proactive, with the ability to work independently and with minimal supervision
•
Strong analytical and critical thinking skills