Junior Medical Content Analyst
About the job
- A bachelor's degree in health information management, Nursing, or another healthcare-related field is required.
- AAPC Certified Professional Coder (CPC), AHIMA Certified Coding Specialist-Physician (CCS-P), or Certified Coding Specialist (CCS) certification is required; apprentice status is acceptable.
- At least one year of relevant healthcare or health insurance payer experience in payment/reimbursement or medical policy analysis, medical claims processing, chart review or auditing, medical billing, medical clerical work, or clinical editing analysis is required.
- Working knowledge of pre-payment editing, payment policies, and payment integrity is required.
- Understanding of U.S. health insurance payers, including commercial plans, Medicare, Medicaid (fee-for-service and managed care organizations), third-party claims processing (including paper and electronic data interchange processes), medical coding, and medical billing is required.
- Ability to work independently with minimal direction is required.
- Ability to present complex material through various mediums is required.
- Ability to analyze complex data, identify trends, and assess potential vulnerabilities is required.
- Proficiency in Microsoft applications is required.
- Research Medicare, Medicaid, Specialty Society, and other medical coding authority publications to locate covered and non-covered guideline language.
- Enter clinical content into Lyric software accurately, following established processes and review guidance to support correct claim outcomes.
- Identify code set and guideline updates by comparing coding authority documentation against existing clinical content.
- Stay informed about routine code set updates, guideline changes, and medical coding requirements with guidance from senior team members.
- Share researched coding and billing information with cross-functional teams and escalate complex subject-matter questions to senior analysts or subject-matter experts.
- Validate and maintain source documentation for claims editing.
About the company
Lyric AI provides analytics-driven health care payer solutions to improve payment integrity and efficiency for health plan payers, built on 30 years of ClaimsXten experience and using AI, machine learning, blockchain, and large language models to detect improper payments. The platform connects to transactional systems once and offers a range of first- and third-party payment integrity checks through a subscription-based model and transaction fees. It differentiates itself with a long track record, deep domain expertise, high customer retention, and substantial client savings of about $12–$14 billion per year, currently serving nine of the top ten payers. The goal is to help payers maximize payment accuracy and integrity, reduce costs, and maintain compliant, efficient payment operations.
Company Size
501-1,000
Company Stage
Growth Equity (Venture Capital)
Total Funding
$90.9M
Headquarters
Upper Merion Township, Pennsylvania
Founded
2007
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Simplify's Take
What believers are saying
- Reuters reported about $250 million EBITDA and a possible $5 billion valuation.
- Concert's July 15, 2026 integration expands Lyric into advanced diagnostics and genetic-testing accuracy.
- Health plans need tighter payment controls as complex therapies and lab claims keep rising.
What critics are saying
- TPG's September 9, 2026 sale process exposes Lyric to buyer skepticism and pricing pressure.
- AI-native rivals like Machinify and Claritev target the same payment-integrity workflows.
- If payers shift to cheaper AI tools, Lyric's $5 billion valuation collapses by 2027.
What makes Lyric unique
- Lyric42 already reaches 200 million lives and nine of ten top health plans.
- Concert acquisition on July 15, 2026 deepens computable policy and real-time claims decisions.
- TPG bought ClaimsXten in 2022, giving Lyric entrenched payer integrations and data depth.
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Benefits
- Hybrid Work Options