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Role Overview:
- Join a team of experienced medical auditors and coders performing audits for government payers.
- Work remotely in a fast-paced, dynamic, multi-location team.
Responsibilities:
- Audit claims for medical appropriateness and document findings.
- Draft appeal letters and collaborate to improve policies and workflows.
Qualifications:
- Active RN license and five years of nursing experience required.
- ICD-10, CPT/HCPCS, and DRG billing experience required; RAC certification preferred.
Machinify
Machinify is a healthcare intelligence company providing AI-powered payment solutions for health plans. It serves over 85 health plans and more than 270 million lives, with a culture focused on innovation and reducing healthcare costs.