Medical Content Analyst – Entry Level ( Junior MCA)
发现你的100%你与微源！职位：医疗内容分析师 （初级）工作设置和转班：从家做夜间转班为什么加入微源？你将获得：·竞争性奖励：享受市场上高的补偿，第一天健康保险，加上一个或多个受理人，付费休息现金转换，团体生命保险和绩效奖励 · 一种协同精神：通过参与公司赞助的活动并参与积极的工作环境。· 工作-生活和：享受适合你的灵活工作安排之间的平衡。· 职业发展：充分利用不断学习和职业进步的机会。· 包括在内的团队工作：成为庆祝多样性，促进包容文化的一支团队的一部分。责任：·审查医疗保险，医疗补助，特种社会以及其他医学编码机构出版物以确定覆盖和非覆盖的指南更新。·准确地将研究临床内容输入 Lyric 软件中，遵守既定的索赔结果流程和审查指导方针。·与现有软件逻辑进行对比，以识别过时代码集群和规则。· 与内部团队分享研究的编码和发票数据，并向高级专家提出复杂技术问题。· 验证，组织和维护源文档以证明当前和未来的索赔编辑包。· 在资深人员指导下保持最新的国家代码集，退款要求和医疗政策更新知识。资格：·卫生信息管理，护理或紧密相关保健领域的学士学位。·有效的 AAPC CPC,AHIMA CCS-P 或 AHIMA CCS 认证 （接受了学徒身份）. · 医疗保健或保险付款者环境至少1年的经验，例如医疗索赔处理，图表审计，发票或临床编辑。· 美国健康保险框架的坚实的理解，包括商业，医疗保险和医疗补助 （FFS 和 MCO）的发票协议。· 前支付索赔编辑，支付完整性和正式退还政策的直接实操了解。· 证明能够综合并清楚地呈现复杂的监管或医学编码结构。关于微源与13个分发中心超过9,000名专业人士，MicroSourcing 是 t
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Discover your 100% YOU with MicroSourcing!
Position: Medical Content Analyst (Junior)
Work setup & shift: Work From Home| Night Shift
Why join MicroSourcing?
You'll have:
- Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
- A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
- Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
- Career Growth: Take advantage of opportunities for continuous learning and career advancement.
- Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.
Responsibilities:
- Review Medicare, Medicaid, Specialty Society, and alternative medical coding authority publications to identify covered and non-covered guideline updates.
- Enter researched clinical content into Lyric software accurately, adhering to established claim outcome processes and review guidelines.
- Compare current coding authority documentation against existing software logic to identify out-of-date code sets and rules.
- Share researched coding and billing data with internal teams and escalate complex technical questions to senior subject matter experts.
- Validate, organize, and maintain source documentation to justify current and future claims editing packages.
- Maintain up-to-date knowledge of national code sets, reimbursement requirements, and medical policy updates under the guidance of senior staff.
Qualifications:
- Bachelor's degree in Health Information Management, Nursing, or a closely related healthcare field.
- Valid AAPC CPC, AHIMA CCS-P, or AHIMA CCS credential (Apprentice status is acceptable).
- Minimum of 1 year of experience in healthcare or insurance payer environments, such as medical claims processing, chart auditing, billing, or clinical editing.
- Solid understanding of US health insurance frameworks, including Commercial, Medicare, and Medicaid (FFS and MCO) billing protocols.
- Direct working knowledge of pre-payment claims editing, payment integrity, and formal reimbursement policies.
- Proven ability to synthesize and present highly complex regulatory or medical coding structures clearly.
About MicroSourcing
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.
Our commitment to 100% YOU
MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.
At MicroSourcing, equality is not merely a slogan – it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%!
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Originally posted on Himalayas