🔹 Job Title: Medical Content Analyst - Content Innovation
🔹 Company: TBC Corporation
🔹 Location: Manila, Philippines
🔹 Job Type: Full-Time
🔹 Category: Healthcare, Medical Billing & Coding
🔹 Date Posted: April 14, 2025
🔹 Experience Level: 5-10 years
🔹 Remote Status: On-site
Key aspects of this role include:
ASSUMPTION: This role requires a high level of clinical knowledge and experience in medical billing and coding to effectively identify new claims editing opportunities and make recommendations.
✅ Evaluate analytics reports and medical claims to identify new claims editing opportunities
✅ Contribute to the content topics backlog for editing consideration
✅ Function as a subject matter expert for current claims auditing and medical coding scenarios to expand editing outcomes
✅ Provide content knowledge transfer to colleagues for rule development
✅ Solve problems related to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion with Lyric business rules
✅ Responsible for making recommendations within the software for the denial of diagnosis, age, or other criteria on medical claims based on coding guidelines
ASSUMPTION: This role requires a strong understanding of medical coding guidelines and the ability to apply them to make accurate claims editing decisions.
Education: BS Nursing, BS Pharmacy, or equivalent required
Experience: 4 years’ experience in medical billing, coding, claims processing, bill and/or chart review/auditing, is required. Previous experience working with US health insurance payers in a claims, appeals or coding capacity is also required
Required Skills:
Preferred Skills:
ASSUMPTION: While not explicitly stated, having a strong understanding of US healthcare systems and regulations would be beneficial for this role.
Salary Range: The salary range for this role is estimated to be PHP 600,000 - PHP 900,000 per year, based on industry standards for a Medical Content Analyst with 5-10 years of experience in the Philippines.
Benefits:
Working Hours: This role requires working 40 hours per week, with flexible hours to accommodate meetings and project deadlines.
ASSUMPTION: The salary range provided is an estimate and may vary based on the candidate's qualifications and the company's internal compensation structure.
Industry: TBC Corporation is a leading healthcare technology company, committed to simplifying the business of care. They leverage machine learning, AI, and predictive analytics to empower health plan payers with pathways to increased accuracy and efficiency, while maximizing value and savings.
Company Size: TBC Corporation has 1,001-5,000 employees, providing a mid-sized company environment with opportunities for growth and collaboration.
Founded: TBC Corporation was founded in 1956 and has since grown to become a trusted ally to customers, recognized by KLAS as “true partner” and “excellent value for investment,” with a top score for overall customer satisfaction and A+ likelihood to recommend in their October 2023 Payment Integrity and Accuracy Report.
Company Description:
Company Specialties:
Company Website: Lyric.ai
ASSUMPTION: TBC Corporation's focus on healthcare technology and commitment to simplifying the business of care make it an attractive employer for individuals interested in the healthcare industry and technology-driven solutions.
Career Level: This role is at the mid-level career stage, requiring a balance of clinical knowledge, experience, and technical skills to effectively perform the job duties.
Reporting Structure: The Medical Content Analyst reports directly to the Content Innovation team and works closely with various departments, including Analytics, Medical Coding, and Software Development.
Work Arrangement: This role requires working on-site in Manila, Philippines, with flexible hours to accommodate meetings and project deadlines.
Growth Opportunities:
ASSUMPTION: This role offers opportunities for professional growth and development within the company, as well as the chance to make a significant impact on the company's products and services.
Office Type: The Manila office is a modern, collaborative workspace designed to foster innovation and productivity.
Office Location(s): 4260 Design Center Drive, Palm Beach Gardens, FL 33410, US
Geographic Context:
Work Schedule: This role requires working 40 hours per week, with flexible hours to accommodate meetings and project deadlines.
ASSUMPTION: The Manila office provides a dynamic and engaging work environment, with opportunities for collaboration and professional growth.
Typical Process:
Key Assessment Areas:
Application Tips:
ATS Keywords: Medical Billing, Coding, Claims Processing, Chart Review, Denial Management, Communication Skills, Analytical Ability, Problem-Solving Skills, Team Management, Relationship Building, Software Proficiency, ICD-10-CM Coding, Content Knowledge Transfer, Claims Auditing, Healthcare Payers, Innovation
ASSUMPTION: The application process for this role is competitive, and applicants should highlight their relevant experience and skills to increase their chances of success.
ASSUMPTION: Proficiency in these tools and technologies is essential for effectively performing the job duties and collaborating with colleagues.
Company Values:
Work Style:
Self-Assessment Questions:
ASSUMPTION: Applicants who share TBC Corporation's values and work style are more likely to be successful in this role and contribute to the company's mission.
ASSUMPTION: These challenges require strong clinical knowledge, adaptability, and effective communication skills to overcome.
ASSUMPTION: Applicants should consider how this role compares to related positions and how it aligns with their career goals and interests.
ASSUMPTION: These sample projects illustrate the types of tasks and responsibilities the Medical Content Analyst may be expected to perform in this role.
ASSUMPTION: Asking these questions demonstrates a strong interest in the role and the company, and provides valuable insights into the work environment and company culture.
To apply for this position:
⚠️ This job description contains AI-assisted information. Details should be verified directly with the employer before making decisions.