Medical Content Analyst – Entry Level ( Junior MCA)
Position
Work setup & shift
You'll have
Competitive Rewards
A Collaborative Spirit
About the role
Career Growth
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- Compare current coding authority documentation against existing software logic to identify out-of-date code sets and rules.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
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%! For more information, visit
*Terms & conditions apply
Not included in the source posting: benefits.
Who can apply
The employer didn't state any visa, work authorization, citizenship or clearance requirements in this posting. Confirm with the employer before applying.
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