Machinify

4 months ago

Forward Deployed Engineer

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 4 hours agoStatus: Live

Job Summary

Join our Complex Payment Solutions team as an Inpatient Claims Auditor (DRG Reviewer). You will audit patient medical records for accurate reimbursement using clinical, coding, and payer guidelines; document findings with evidence-based rationale; collaborate to review DRG denials; and ensure audits meet quality, timeliness, and HIPAA standards while leveraging proprietary auditing systems.

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Healthcare (Clinical, Medical, Wellness)

Key Responsibilities

•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.

Pay and Benefits

Perks:Health InsuranceDentalVision401kPaid LeaveRemote Work

Key Requirements

•An associate or bachelor’s degree in nursing (active/unrestricted license); or in health information management is required.
•2+ years inpatient claims auditing, quality assurance or recovery auditing experience, and/or inpatient clinical documentation integrity experience.
•Certification in RHIA, RHIT, CCDS, CDIP, CCS, or CIC (at least one).
•Deep knowledge of ICD-10-CM/PCS coding, UHDDS definitions, Official Coding Guidelines, and DRG methodologies (MS-APR).
•Strong focus on quality, attention to detail, and ability to work independently with minimal supervision.

Experience:2+ yearsHealthcare

Education:Bachelor's in Nursing / Health Information Management

Skills:Attention to detailAnalyticalCommunicationProblem-solvingIndependence

Licenses:RHIARHITCCDSCDIPCCSCIC

Certifications:RHIARHITCCDSCDIPCCSCIC

Languages:English

Tech Stack:ICD-10-CMICD-10-PCSDRGMS-APRUHDDSOfficial Coding GuidelinesAHA Coding Clinic

Company Brief

Machinify

Provides AI-driven predictive maintenance and asset-monitoring solutions for manufacturing and industrial operations, using IoT sensor data and machine learning to reduce downtime, optimize performance, and extend equipment life.

Industry: Industrial Automation

Website

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Machinify

4 months ago

Forward Deployed Engineer

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 4 hours agoStatus: Live

Job Summary

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Healthcare (Clinical, Medical, Wellness)

Key Responsibilities

•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.

Pay and Benefits

Perks:Health InsuranceDentalVision401kPaid LeaveRemote Work

Key Requirements

•An associate or bachelor’s degree in nursing (active/unrestricted license); or in health information management is required.
•2+ years inpatient claims auditing, quality assurance or recovery auditing experience, and/or inpatient clinical documentation integrity experience.
•Certification in RHIA, RHIT, CCDS, CDIP, CCS, or CIC (at least one).
•Deep knowledge of ICD-10-CM/PCS coding, UHDDS definitions, Official Coding Guidelines, and DRG methodologies (MS-APR).
•Strong focus on quality, attention to detail, and ability to work independently with minimal supervision.

Experience:2+ yearsHealthcare

Education:Bachelor's in Nursing / Health Information Management

Skills:Attention to detailAnalyticalCommunicationProblem-solvingIndependence

Licenses:RHIARHITCCDSCDIPCCSCIC

Certifications:RHIARHITCCDSCDIPCCSCIC

Languages:English

Tech Stack:ICD-10-CMICD-10-PCSDRGMS-APRUHDDSOfficial Coding GuidelinesAHA Coding Clinic

Company Brief

Machinify

Industry: Industrial Automation

Website