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Remote - US
Source: Machinify careers · View original posting
From Machinify's posting. “We” and “our” refer to the employer.
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. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise.
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.
We’re seeking a skilled IBR Policy and Content Development Analyst to join our team! You will be responsible for the development, enhancement, and performance of clinical and coding solutions. This role serves as the primary subject matter expert for payment integrity policies, leveraging expertise in healthcare payment policies, facility billing, coding, and regulatory requirements.
This role works closely with cross-functional teams – including operations, clinical, client services, and IT – to ensure audit concepts are accurately built, validated, and maintained in alignment with coding standards, medical necessity criteria, and client-specific payer policies.
The ideal candidate will possess extensive knowledge in medical coding systems and payment methodologies, as well as have strong analytical and communication skills. The candidate brings a proven track record of leading audit concept development and driving payment integrity initiatives.
Pay range
: $85,000 - $110,00 USD
This is an exempt position. The salary range is for Base Salary. Compensation will be determined based on several factors including, but not limited to, skill set, years of experience, and the employee’s geographic location.
Work from anywhere in the US! Machinify is digital-first.
Top Medical/Dental/Vision offerings
FSA/HSA
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process.
If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: https://www.machinify.com/candidate-privacy-notice/
LAYIQ is an independent job-discovery service. This listing does not imply a partnership with or endorsement by the employer. Review the original posting for current details and availability.
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