Anly Clinical Development

Job Description

Clinical Analyst – Content Development (Solventum)

At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game‑changing innovations at the intersection of health, material and data science that change patients’ lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.

As an Analyst, Clinical Content Development, you will develop, enhance, and incorporate ICD‑10‑CM/PCS coding edits content within Audit Expert (including HDM and the 360 platform), as well as DRG‑related content. You will also develop and enhance outpatient edits and incorporate CPT/HCPCS and PFS coding edits within our 360 platform, ensuring compliance, accuracy and value for our customers.

• Develop coding edits that address coding regulations, focusing on compliant coding practices, DRG validation and coding quality.
• Develop coding edits that address coding regulations, focusing on regulatory guidelines for ICD‑10‑CM/PCS, CPT/HCPCS, and PFS.
• Gather and analyze Voice of Customer feedback and input from internal teams (e.g., Consulting Services, Support, Nosology) to identify opportunities for product improvement and added value.
• Evaluate customer suggestions and requests for product/edit enhancements and determine feasibility for implementation.
• Collaborate with consulting services, audit specialists, and other teams involved with auditing solutions.

To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications:

• Bachelor’s Degree or higher (completed and verified prior to start) from an accredited institution AND seven years of related job experience in inpatient code auditing (ICD‑10‑CM/PCS) in a private, public, government or military environment
• OR High School Diploma/GED and eleven years’ experience in inpatient code auditing (ICD‑10‑CM/PCS) in a private, public, government or military environment
• RHIT or RHIA certification
• CCS certification
• Three years of experience with inpatient reimbursement and severity‑adjusted models (i.e. MS‑DRGs, APR‑DRGs) and inpatient denials management (i.e., DRG denials, RAC audits)

Additional qualifications that could help you succeed even further in this role include:

• Bachelor’s degree in Health Information Management or Nursing
• Extensive experience with coding audits, RAC audits, DRG denials
• Experience working with state specific APR‑DRGs
• Experience with DRG validation
• Experience with outpatient coding (CPT/HCPCS)
• Experience with inpatient clinical documentation improvement
• Experience working with international code sets
• Working knowledge and understanding of compliant coding
• Excellent attention to detail, time management and organizational skills
• Proficiency in Microsoft Office applications (Excel, Teams, Word, PowerPoint) with strong analytical skills
• Capacity for effective collaboration both within the organization and with external customers

Remote – United States

May include up to 10% domestic/international travel

Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).

Solventum offers many programs to help you live your best life – both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope.

New employees hired for this position will be required to travel to a designated company location for on‑site onboarding during their initial days of employment. Travel arrangements and related expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or later.

Applicable to US Applicants Only:
The expected compensation range for this position is…