Supervisor, Outpatient Audit Operations

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. About the Opportunity The Supervisor, Outpatient Audit Operations leverages deep expertise in outpatient facility and professional coding, Ambulatory Payment Classification (APC) grouping, Ambulatory Patient Group (APG) methodology, and the Outpatient Prospective Payment System (OPPS) to lead a remote team of outpatient coding auditors conducting pre-payment and post-payment reimbursement-based audits to identify overpayment opportunities and deliver accurate, defensible audit outcomes. This role combines hands-on outpatient coding and reimbursement expertise with strong leadership skills to support operational excellence through capacity planning, workforce management, productivity oversight, and strategic resource allocation. The Supervisor partners with management to assess bu...