Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top technology. Lyric is proud to be recognized as 2025 Best in KLAS for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified. Interested in shaping the future of healthcare with AI? Explore opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI. + 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: + 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. + 2 years or more’ relevant experience with ClaimsXten solution. + 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.