Medical Review Nurse, Clinical Appeals Auditor
Machinify · Other
Source: machinifyinc
Limited to: United States — no hybrid days in this listing.
This role’s source listing does not include Hungary as an eligible location.
Machinify is seeking a Registered Nurse for a remote US-based role to conduct clinical appeals audits and quality assurance reviews.
The Clinical Appeals Auditor will be responsible for reviewing medical audit findings, analyzing claims data, and providing subject matter expertise on coverage rules and regulations. This role involves documenting appeal results, identifying training opportunities, and collaborating with cross-functional teams to improve audit accuracy and efficiency.
Why You’ll Love This Role
What You’ll Bring
What You’ll Get
About the Company
Machinify is a healthcare intelligence company that delivers an AI-powered platform to health plans across the United States. They specialize in optimizing financial outcomes and reducing healthcare costs for over 85 health plan clients.