Medical Review Nurse - Home Health Auditor

What this role involves

Machinify is hiring a Medical Review Nurse II to perform medical claims audit reviews focused on Home Health. The role requires an active RN license, 2+ years of home health claims auditing experience, and knowledge of coding systems. The position is remote and involves auditing claims, documenting findings, and supporting appeals.

Skills this posting asks for

• utilization management
• mcq
• interqual
• icd-9
• icd-10
• cpt-4
• hcpcs
• coding
• medical review
• claims auditing
• home health
• rn
• clinical documentation
• quality assurance
• analytical skills

Requirements

• 2 years of experience
• Level: mid
• Remote policy: remote

From the employer’s posting

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,…