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Machinify

The future of payment integrity.

Medical Coder

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteMid LevelTeam 1,001-5,000Company SiteLinkedIn

Location

United States

Posted

23 hours ago

Salary

$90K - $115K / year

Seniority

Mid Level

Associate Degree2 yrs expExperience acceptedEnglish

Job Description

• Audit patient medical records using clinical, coding, and payer guidelines to ensure accurate reimbursement. • Provide clear, evidence-based rationale for code recommendations or reconsiderations to providers or payers. • Collaborate with team leaders to ensure thorough review of DRG denials. • Conduct audits in alignment with organizational quality and timeliness standards. • Use proprietary auditing systems proficiently to make consistent determinations and generate audit letters. • Recommend improvements to the audit system to enhance efficiency. • Ensure compliance with HIPAA regulations for protected health information. • Perform other duties as assigned.

Job Requirements

  • An associate or bachelor’s degree in nursing (active/unrestricted license); or in health information management is required.
  • Work experience may be considered in lieu of formal education at leadership discretion.
  • Certification (at least one of the following is required): RHIA - Registered Health Information Administrator, RHIT- Registered Health Information Technician, CCDS - Certified Clinical Documentation Specialist, CDIP - Clinical Documentation Improvement Practitioner, CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder.
  • Inpatient claims auditing, quality assurance or recovery auditing experience of 2 years or more required, and/or Inpatient Clinical Documentation Integrity experience of 2 years or more required.
  • Strong focus on quality and attention to detail.
  • Deep curiosity and analytical skills to understand root causes of events and behaviors.
  • Proven ability to apply critical judgment in clinical and coding determinations.
  • In-depth knowledge of clinical criteria and documentation requirements to support code assignments.
  • Expertise in DRG methodologies (e.g., MS & APR).
  • Expertise in ICD-10-CM/PCS coding, UHDDS definitions, Official Coding Guidelines, and AHA’s Coding Clinic Guidelines.
  • Ability to work independently and efficiently with minimal supervision.

Benefits

  • Work from anywhere in the US! Machinify is digital-first.
  • Top Medical/Dental/Vision offerings
  • FSA/HSA
  • Tuition reimbursement
  • Competitive salary, 401(k) with company match
  • PTO
  • Additional health and wellness benefits and perks
  • Flexible and trusting environment where you’ll feel empowered to do your best work

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