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, and a recipient of the 2025 CandE Award for Candidate Experience. Interested in shaping the future of healthcare with AI? Explore opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI. **Job Summary** The Content Innovation team is integral to the success of the content development process of Lyric and the expansion of our claims editing solutions. This team member will support development and optimization of AI-driven healthcare solutions. This role bridges clinical coding expertise with artificial intelligence, ensuring that model outputs are accurate, compliant and aligned with claims editing. **Job Responsibility** • Verify coding or billing guidelines and other data extracts from AI to confirm accuracy in accordance with coding parameters. • Review Medicare/Medicaid/Commercial guidelines and create/maintain policies • Provide accurate and timely feedback to AI to improve model performance. • Remain informed with medical coding and billing regulatory changes to contribute continuous improvement of AI tools. • Participate in the development of coding guidelines for AI-assisted workflows. • Validate criteria for policy or rule suitability. **Required Qualification** + Bachelor’s degree in MBBS/BAMS/BHMS/BDS/BPT with completed internship + Active 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) + Minimum of 2 years of relevant US healthcare experience, must demonstrate proficiency in applying CPT, ICD-10-CM, and HCPCS coding conventions, including translating clinical documentation into appropriate codes. + Understanding of US health insurance payers including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes) + Strong grasp of medical terminology and human anatomy Proficiency in Microsoft applications. **Preferred Qualification** + Bachelor’s degree in business or healthcare related field + Previous US Healthcare in Payer/Provider specific experience + Previous experience in Medicaid/Commercial policy reimbursement guidelines + Previous experience at CMS (Medicare or Medicaid) or at a Health Insurance plan + Comfortable working in agile, fast-paced, and collaborative environments + Self-motivated and proactive, with the ability to work independently and with minimal supervision Strong analytical and critical thinking skills.