Machinify

APC Coding Validation Specialist

Remote - US · Mid

Sponsorship not specified$85k-$100kDetected 49 days ago

AuditingICD-10RadiologyCommunicationMicrosoft Office

About the role

As a Coding Validation Specialist on the Complex Payment Solutions Team, you will play a critical role in performing comprehensive outpatient payment validation reviews.

Maintain established accuracy, quality, and productivity standards, including correct code assignment and thorough documentation of review outcomes.
Perform additional duties as assigned.

5-7 years of experience in outpatient facility coding/auditing
Experience with encoder and auditing tools (e.g., 3M, TrueBridge, Grouper/Pricer Software)

$85,000 - $100,000, with the opportunity to earn quarterly bonuses.
The salary for this position is based on an array of factors unique to each candidate: Such as years and depth of experience, set skills, certifications, etc.
Competitive salary, 401(k) with company match

Top Medical/Dental/Vision offerings
Tuition reimbursement
Additional health and wellness benefits and perks
Flexible and trusting environment where you'll feel empowered to do your best work
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country.
We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
Conduct comprehensive reviews to validate the accuracy of billed charges against medical documentation, payer policies, coding guidelines, and industry standards to ensure appropriate reimbursement.

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex

This listing is sourced directly from Machinify's careers page and normalized into a canonical job model.