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Sr. Content Data Analyst

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Zelis

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Location:
India , Hyderabad

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Category:
IT - Administration

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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

The Edits and Content Analyst role is responsible for development and delivery of initiatives focused on editing and edit content management. The Edits and Content Team manages data driven edits (DDE), new edit content as well as the existing edit content using sources (AMA, CPT, AAPC, CMS, etc.). The Edits and Content Analyst role will partner closely with the team around projects around the build out of the claims edit platform for physician and facility claims including support for communication and documentation. Will work closely with Ops, Sales & IT departments in the development and maintenance of the maintenance of content as it relates to scalability, functionality, and initiatives imperative to growth.

Job Responsibility:

  • Ensure accuracy of the content data used by the edits during the development and maintenance (clinical content and data)
  • Use of strong coding and industry knowledge to research regulatory updates, create and maintain editing content (data used by the edits)
  • Research, analysis, and quality assurance of content for edits within the Claims Editing library of edits by testing and validating the data
  • Utilize the most up-to-date approved Zelis medical coding sources for edit maintenance and development while also advising appropriate personnel of important changes, issues, and trends
  • Ensure consistency between edit reference and edit data to ensure adherence to quality assurance guidelines
  • Ensure timely update to the edit as per the maintenance cadence
  • Conduct the root cause analysis of the errors identified and document the issues using the RCA templates
  • Create a preventive action plan and educate the associates to help improve review and accuracy
  • Create and implement training plans for the new associates and ongoing edit education series
  • Ensure compliance with HIPAA regulations and requirements
  • Perform regulatory research from multiple sources to keep abreast of compliance enhancements and additional editing opportunities
  • Serve as a subject matter expert for content and edits and provide support where needed
  • Work closely with client teams to provide coding expertise for customer and provider inquiries
  • Facilitate associates with written responses, documentation and rationale for inquiries as needed
  • Monitor, research, and summarize trends, coding practices, and regulatory changes
  • Performs other related responsibilities and special projects as assigned
  • Maintains awareness of and ensure adherence to ZELIS standards regarding privacy
  • Partner with other areas to assess and communicate impact to the business for additions, changes, or updates as it relates to content and edit updates

Requirements:

  • 5+ years’ experience healthcare or related industry
  • Good understanding of edit maintenance with proven hands on experience
  • Current certified coder (CCS, CCS-P or CPC), or registered health information technician (RHIA/RHIT), or RN, LPN with coding knowledge
  • Proficient in Microsoft Word and PowerPoint
  • Intermediate to Advanced Excel skills preferred
  • Creative problem-solving skills
  • Consistently demonstrate ability to act and react swiftly to continuous challenges and changes
  • Excellent analytical skills with data and analytics related solutions
  • Excellent communication skills
  • Strong organization and project / process management skills
  • Strong initiative, self-directed and self-motivation
  • Good negotiation, problem solving, planning and decision-making skills
  • Ability to manage projects simultaneously and achieve goals
  • Excellent follow through, attention to detail, and time management skills
  • Current, active CPC or equivalent credentialing required
  • Bachelor’s Degree mandatory in business, healthcare, or technology preferred
What we offer:
  • Hybrid work flexibility
  • Comprehensive healthcare benefits
  • Financial wellness programs
  • Cultural celebrations

Additional Information:

Job Posted:
February 20, 2026

Expiration:
February 28, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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