Senior Content Ideation Specialist

Zelis

Atlanta, GA, US
Base: $105,000.00 - $133,000.00; bonus/equity: dis...
Hybrid
Ms-drg/apr-drg coding expertise
Icd-10 and cpt code knowledge
Regulatory research capabilities
The role focuses on developing and maintaining clinical content for the Expert Claim Review suite, specifically targeting Itemized Bill Review and DRG Validation

Job Summary

  • The role focuses on developing and maintaining clinical content for the Expert Claim Review suite, specifically targeting Itemized Bill Review and DRG Validation.
  • Candidates must serve as subject matter experts to troubleshoot data accuracy, review provider disputes, and present educational materials to operations teams.
  • Zelis offers a competitive total rewards package including a 401k match, flexible paid time off, and comprehensive health benefits for full-time associates.

Matching Summary

The role focuses on developing and maintaining clinical content for the Expert Claim Review suite, specifically targeting Itemized Bill Review and DRG Validation.

Salary

Base: $105,000.00 - $133,000.00; Bonus/Equity: Discretionary bonus plans or commissions may apply; Benefits: 401k match, PTO, holidays, parental leaves, medical/dental/vision coverage

Skills & Requirements

Must-have

  • MS-DRG/APR-DRG coding expertise
  • ICD-10 and CPT code knowledge
  • Regulatory research capabilities
  • Dispute rationale documentation
  • Clinical validation processes

Nice-to-have

  • AI partnership and innovation mindset
  • JIRA and Confluence proficiency
  • Cross-functional collaboration skills
  • Data analysis for concept ideation
  • Agile project management approach

Key Requirements

  • Bachelor's degree required
  • 4+ years clinical or medical coding experience
  • Active CIC, CCS, RN/LPN with coding cert, or RHIA/RHIT credential
  • 6-8 years experience if RN/LPN or RHIA/RHIT
  • US work authorization without visa sponsorship

Work Rights

Must not require visa sponsorship

Tailored Resume

Cover Letter