Healthcare Services Concept Specialist

Machinify

Remote regions

US

Salary range

$85,000–$115,000/yr

Benefits

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Key Responsibilities:

  • Responsible for the review and update of existing concepts.
  • Collaborates with and leverages Segment Specialist expertise to ensure on-point results.
  • Ensure training material updates as necessary.

Knowledge, Skills & Abilities Needed:

  • Demonstrated knowledge of applicable Medicare and Commercial policy and claims process.
  • Relevant knowledge and experience with ICD-10-CM/PCS, CPT-4, and HCPCS coding.
  • Strong proficiency in Microsoft Word, Excel, SharePoint.

Required & Preferred Qualifications:

  • At least 2-4 years of audit or Payment Integrity experience.
  • CPC, COC, RHIA, or RHIT certification and/or RN.

Machinify

Machinify is a healthcare intelligence company that delivers value, transparency, and efficiency to health plans. They are deployed by over 75 health plans, representing more than 170 million lives, and use an AI operating system, combined with expertise, to untangle healthcare data.

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