Senior Content Analyst - La Grange - The Rawlings Group

    The Rawlings Group
    The Rawlings Group La Grange

    5 days ago

    Description

    This Senior Content Analyst will interpret healthcare reimbursement policies and translate them into precise, automated claims editing logic that drives payment accuracy.

    Key Responsibilities

    • Interpret and apply CMS, Medicare, Medicaid, AMA/CPT, NCCI regulations
    • Create accurate claims editing logic with documented rationale and references
    • Built a proprietary library of claims edits aligned to industry standards and payer rules

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