Senior analyst, medical writer(lyric)

Roles and Responsibilities

Job Summary:

The Senior Analyst, Medical Writer, team member is integral to the success of the policy and

business development process at Lyric. The Senior Analyst, Medical Writer, is responsible for

the analysis and documentation of the clinical requirements for use in the business rule

requirements for policy and rule specification creation. This role is vital to the expansion and

effectiveness of our ClaimsXten editing packages and helps promote payment accuracy.

Job Responsibilities

• Analyze, gather, and document clinical requirements using best practices as defined

by Clinical management.

• Validate clinical requirements including content requirements, in collaboration with

subject matter experts (e.g., ClaimsXten experts, Certified coders, auditors,

consultants, Medical Directors, etc.,) to guarantee correct coding guideline

interpretations.

• Collaborate with Rule Writers team and cross-functional team members, to evaluate

rule/policy behavior and to confirm that solution requirements meet business

• expectations and align with client implementation standards.

• Document content requirements to promote immediate post release content

maintenance handoffs.

• Serve as a contributor to all user documentation (edit clarifications, Rules Guide, etc.,)

• Assist with all end-user training activities.

• Support Quality Assurance test plan validation.

• Perform user acceptance testing (UAT) of policies and/or rules.

• Provide requirements subject matter expertise to internal and external clients.

Required Qualification:

• Education: Bachelor’s degree in health information management, Nursing or other

• Healthcare related degree required.

• 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) is

• required.

• 5 years or more relevant healthcare experience, with at least 2 years’ experience as a

payment/reimbursement or medical policy analyst, medical coder, medical claims

processor, chart reviewer/auditor, or clinical editing analyst.

• Must be initiative-taking and self-directed,

• Ability to work independently, with minimal direction.

• Effective communication skills: Must be an expert at presenting extraordinarily

complex material via all mediums.

• Analytical skills: Candidate must possess the ability to analyze complex data, identify

trends and assess potential vulnerabilities.

• Superior critical thinking skills

• Proficiency in Microsoft applications.

Preferred Qualifications:

• Knowledge of the Software Development Life cycle.

• Master’s degree in healthcare related field.

• Knowledge of healthcare reimbursement and payment policies and methodologies.

• Working knowledge of pre-payment editing and payment integrity is preferred.