Medicaid Content Analyst - Lakeland Florida

Company: VirtualVocations
Location: Lakeland, Florida
Posted On: 01/31/2025

A company is looking for a Content Analyst II (Medicaid).



Key Responsibilities

Provide coding and industry expertise to create and maintain clinical coding edits
Write business logic for new rules and enhancements, translating industry references into policy
Review and identify changes to medical policies to maintain an accurate medical policy library


Required Qualifications

Active professional license as a Registered Nurse (BSN preferred), Pharmacist (BSPharm or PharmD), or a Bachelor's degree in a healthcare-related field
Professional certification (RHIA, RHIT, CPC, etc.) preferred or willingness to obtain within one year
Minimum of 5 years of experience in a clinical setting or 6 years of clinical coding experience
Minimum of 3 years of internet-based research experience related to medical codes
Knowledge of Medicaid guidelines and familiarity with claims payment methodologies preferred More...

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