Senior Medical Content Analyst
MicroSourcing · Philippines
Utilization Review
Remote
physician
Nurse
Demand80
Career growth68
Healthcare fit74
Remote potential100
5-year outlook
Demand for payer coding, payment integrity, and clinical policy analysts should remain stable, with progression into lead, audit, or consulting roles; exact compensation will vary by location and offshore employment model.
Clinical license
Not required
Applicant reach
narrow
Seniority
senior
Employment type
full-time
Date found
2026-10-21
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Profession fit
- physician, Nurse
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth applying if you are a BSN-prepared nurse coder with active CPC/CCS-P and US payer claims, coding, or audit experience. Clinicians without coding certification or payer-side experience are unlikely to clear the non-negotiables.
Who should apply
Nurse coders, clinical auditors, and utilization-review or payment-integrity professionals with US health plan experience and active AAPC CPC or AHIMA CCS-P certification.
CV angle
Reframe real nursing experience as clinical foundation for payer policy and coding work, then emphasize quantified US payer coding, denial management, chart audit, appeals, and stakeholder-presentation experience. List ICD-10-CM, CPT, HCPCS, NCCI, LCD/NCD, JIRA, Excel, Access, and Visio where genuinely used.
Skills to highlight
- ICD-10-CM coding
- CPT/HCPCS coding
- NCCI edits
- LCD/NCD policy interpretation
- Denial management
- Claims auditing
- Medical Director and stakeholder presentations
- JIRA/SharePoint/MS Access/Excel
Role summary
Senior analyst maintaining clinical claim-edit logic and policy content for US health plan clients, researching Medicare/Medicaid/commercial coverage and denial rules, updating coding logic, and presenting recommendations to Medical Directors.
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