Complex Clinical Claims Analyst

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 Complex Clinical Review Analyst is responsible for reviewing facility claims to analyze the appropriateness of all billed charges compared to a medical record. These reviews will be conducted according to client policy, as well as utilizing industry standards and clinical and coding guidelines to determine the appropriate billing of the services provided. This role requires research and content development for all aspects of claim review, including level of care, experimental and investigation services, HACs, and do not bill events. Resources should be developed and referenced as support for determinations made. This role requires an expert in clinical areas in addition to coding accuracy and payment integrity, with a keen attention to detail and analyti...