or apply directly on Machinify's site. We never take the application ourselves.
Is this posting real?
- This role has been open
- 80 days Machinify's roles stay open a median of 80 days
- Reposted
- No
- Salary listed
- No 66% of Machinify's roles list one
- Ghost-job risk at Machinify
- high 49 stale, 0 reposted of 50 open
- Hiring momentum
- 69 roles opened in the last 90 days ↑ up vs. the prior 90 days
- Last confirmed on the employer's board
- 2026-10-22
Measured from postings appearing on and disappearing from Machinify's own greenhouse board since 2026-08-03. Full hiring picture for Machinify.
About this role
The Outpatient Coding Quality Validation Specialist at Machinify is responsible for reviewing outpatient coding validation audits to ensure accuracy and compliance with various coding standards. This role involves evaluating auditor performance, providing feedback, developing quality assurance tools, and collaborating with leadership to enhance audit methodologies. The specialist will also maintain knowledge of coding guidelines and assist in training related to coding updates and performance improvement.
- benefits
- 4/5
- freshness
- 1/5
- career value
- 4/5
- role clarity
- 5/5
- pay transparency
- 0/5
Scored from the posting itself — how clearly the role is described, how much it says about pay and benefits, and how recently it was listed. Not a judgement of Machinify as an employer.
What you need
- Associate’s or Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field preferred
- Current certification through AHIMA and/or AAPC required, including RHIA, CCS, or CPC
- Minimum of 5 years of hospital outpatient coding experience within OPPS reimbursement methodologies and/or outpatient/APC validation auditing experience
- Extensive knowledge of CPT, HCPCS Level II, ICD-10-CM, NCCI edits, and appropriate modifier usage
- Strong understanding of Medicare Outpatient Prospective Payment System (OPPS), Ambulatory Payment Classifications (APCs), and outpatient reimbursement methodologies
- Proficiency interpreting and applying Medicare LCD and NCD guidelines
Nice to have
- 5–7 years of experience performing pre-pay, post-pay, and/or post-adjudication outpatient validation reviews related to OPPS/APC reimbursement
- Advanced experience auditing or coding complex outpatient facility claims
- Experience coding, auditing, or validating Enhanced Ambulatory Patient Grouping (EAPG) claims
- Prior quality assurance, auditor mentoring, training, or team lead experience
What you get
- PTO, Paid Holidays, and Volunteer Days
- Eligibility for health, vision and dental coverage
- 401(k) plan participation with company match
- Flexible spending accounts
- Tuition Reimbursement
- Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave
Worth weighing
- No specific salary details beyond starting salary and bonus opportunity
- The role requires a strong understanding of complex coding and auditing, which may be challenging for less experienced candidates
Summarised from Machinify's posting. Read the full original.
Listed by Machinify on their greenhouse job board, last confirmed open on 2026-10-22. PitchMeAI is not the employer.
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