Medical Content Analyst, Automation

Tbc Open · verified Sep 10, 2026

Manila Full-time Mid-level Content Creation

Mid-level Content Creation role at Tbc. Manila · full-time.

Role brief

Growth Roles summary, based on the employer's posting.

What you'll do

Check AI-produced CPT, HCPCS, ICD-10-CM, and other claim data for accuracy
Compare coding rules and AI data extracts with the required coding parameters
Spot data anomalies and give timely feedback to improve model performance
Monitor medical coding and billing changes while helping create AI workflow guidelines
Assess policy and rule criteria and advise clinical, technical, and product teams as a coding SME

What you bring

Hold a bachelor's degree in health information management, nursing, or another healthcare field
Keep an active AAPC CPC, AHIMA CCS-P, or CCS certification
Bring at least five years of healthcare experience, including three in coding, chart review, auditing, or abstraction
Apply CPT, ICD-10-CM, and HCPCS conventions, and understand US payer and claims-processing practices
Know medical terminology and anatomy, with experience using Microsoft applications and CAC or NLP tools

Who this fits

You’ll suit this full-time Manila role if you can combine hands-on medical coding knowledge with careful AI data review. You’ll work across clinical, technical, and product groups, both independently and in collaborative agile settings. The listing also calls for willingness to join targeted AI training programs.

From the employer

Lyric is the trusted leader in healthcare decision intelligence. Built on more than 35 years of proven results, Lyric combines responsible AI with clinical, payment, regulatory, and policy expertise to deliver transparent, auditable insights in milliseconds across real-time claims workflows. Lyric augments human decision-making so health plans can make faster, more accurate payments while maintaining full control. Today, Lyric supports 200 million lives, with nine of the top 10 U.S. health plans relying on its platform to reduce waste, improve efficiency, and support accurate payments.

Essential Job Responsibilities & Key Performance Outcomes

Review and validate AI generated CPT, HCPCS, ICD10CM and other claim data set elements.
Verify coding or billing guidelines and other data extracts from AI to confirm accuracy in accordance with coding parameters.
Identify any AI data extract anomalies or defects.
Provide accurate and timely feedback to AI to improve model performance.
Remain informed with medical coding and billing regulatory changes to contribute continuous improvement of AI tools.
Participate in the development of coding guidelines for AI-assisted workflows.
Validate criteria for policy or rule suitability.
Serve as a subject matter expert (SME) in cross-functional team with Clinical, technical, and product stakeholders.

Required Qualifications

Bachelor’s degree in health information management, Nursing or other Healthcare related degree required
Active 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)
Minimum of 5 years of relevant healthcare experience, including at least 3 years in medical coding, chart review, auditing, or abstraction. Must demonstrate proficiency in applying CPT, ICD-10-CM, and HCPCS coding conventions, including translating clinical documentation into appropriate codes.
Understanding of US health insurance payers including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes)
Strong grasp of medical terminology and human anatomy
Familiarity with AI-driven tools such as Computer-Assisted Coding (CAC) or Natural Language Process (NLP) platforms
Proficiency in Microsoft applications

Preferred Qualifications

Master’s degree in business or healthcare related field
Previous ClaimsXten experience
Previous experience using AI tools in a professional environment
Previous experience at CMS (Medicare or Medicaid) or at a Health Insurance plan
Ability to convey complex technical information across various formats (written, verbal, visual)
Comfortable working in agile, fast-paced, and collaborative environments
Willing to participate in target AI training programs
Self-motivated and proactive, with the ability to work independently and with minimal supervision
Strong analytical and critical thinking skills