Healthcare Audit Policy Analyst - Remote

Machinify; United States; On-site; USD 80,000 - 120,000; Full time

Benefits offered by this job

Top Medical/Dental/Vision

FSA/HSA

Tuition reimbursement

401(k) with company match

Flexible and trusting environment

Job summary

Machinify is a leading healthcare intelligence company hiring an Audit Policy Analyst to lead development, testing, and optimization of payment integrity audit concepts across government and commercial claim types.

You will collaborate with operations, clinical, client services, and technology teams to ensure concepts align with coding standards, regulatory requirements, and payer policies. Remote, nationwide opportunity with competitive salary.

Qualifications

• Bachelor's degree or equivalent experience in health administration, business, nursing, or related field.
• Minimum 5+ years in healthcare claim-type subject matter, including payment integrity and claims auditing.
• RN or Certified Coder with credential (RHIA/RHIT/AHIMA/AAPC) required.

Responsibilities

• Develop and maintain audit concepts across CMS, Medicaid, commercial programs.
• QA reviews of audit concepts ensuring regulatory and coding compliance.
• Collaborate with operations, clinical, client services, and technology teams.

Skills

Healthcare auditing

Data analysis

Communication

Remote work

Statistical analysis

Education

Bachelor's degree in health administration or related field

RN or certified coder credential (RHIA/RHIT/AHIMA/AAPC)

Tools

Excel

PowerPoint

SharePoint

Teams

Job description

Machinify is a leading healthcare intelligence company hiring an Audit Policy Analyst to lead development, testing, and optimization of payment integrity audit concepts across government and commercial claim types.

You will collaborate with operations, clinical, client services, and technology teams to ensure concepts align with coding standards, regulatory requirements, and payer policies. Remote, nationwide opportunity with competitive salary.