New Content Innovation, Claims Editing (Multiple Levels)

What You'll Do:

• Source and author editing content, monitoring authoritative sources like CPT, HCPCS, ICD-10-CM, NCCI, and CMS manuals.
• Use claims data to test editing concepts, size opportunities, and track metrics like hit rate, false positives, and savings.
• Partner with Product and Data Science to translate content into requirements and apply AI tools to improve content building.

What You Bring:

• 7+ years in claims editing, clinical coding, Payment Integrity, or payer policy, with hands-on editing experience.
• Active coding credential such as CPC, CCS, CCS-P, CPMA, or CIC, or a clinical license with deep coding knowledge.
• Strong analytical skills using SQL or Excel, and clear communication for both clinical and nonclinical audiences.

What Success Looks Like:

• In the first 90 days, learn Machinify's content portfolio and deliver your first validated content updates.
• Within 6-12 months, own a content domain end to end, move data-validated concepts to production, and show measurable improvements in edit accuracy and client value.