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Director of Medical Coding Reviews
Confirmed live in the last 24 hours
Palo Alto, CA, USA
Experience Level
  • You have 12+ years experience with a proven track record in coding management in a facility of significant size and complexity, hospital business operations, information systems, and / or vendor audit firm, with at least 4 years being in leadership roles
  • Minimum CPC-P; preference is specialty certifications as well - such as: CCS, CCS-P, CPC, CPC-I, CANPC, CEMC, CFPC, CIRCC, COBGC, COSC, CPCD, CPEDC, CPMA, CRC
  • Healthcare claim audit knowledge in the following areas: One Day Admissions, Readmissions, ER Visits, Utilization Management/Medical Necessity, Outlier Payments
  • You are excited about solving complex problems in an industry impacting millions of lives
  • You are a critical thinker who can be strategic without losing the attention to detail
  • You are comfortable taking the initiative and owning projects from start to finish
  • You can build positive relationships based on trust and value delivered
  • Drive operations for Machinify's enterprise coding services (including service delivery, quality, education, training)
  • Lead our coding review strategy, ensuring alignment with industry trends, regulatory requirements and customer needs
  • Set performance targets and internal operating metrics
  • Partner with the Data organization, supporting data scientists to understand the claim coding process
  • Build and scale a team of high performing code reviewers
  • Partner with our engineering team to understand the use of the AI driven tools/user interfaces and provide feedback to improve the product
Desired Qualifications
  • Working knowledge of encoding software such as 3M or TruCode is a plus

51-200 employees

AI-powered product development platform
Company Overview
Machinify is on a mission to ensure that patients get the right treatment, at the right time, at the right price. The cloud-based Machinify AI platform delivers products that are transforming healthcare administration from a human-powered, error-prone series of workflows fueled by faxes and spreadsheets to a world of transparent, realtime care and payment decisions.
  • Medical, dental, & vision
  • Flexible work environment
  • Generous PTO
  • Competitive salary
  • Equity
  • 401(k)
  • Sponsorship
  • Generous L&D Reimbursement policy