Senior Content Innovation for Claims Editing

Machinify; United States; Remote; USD 135,000 - 165,000; Full time

Benefits offered by this job

PTO and holidays

Health, vision and dental coverage (te

401(k) with company match

Tuition Reimbursement

Life insurance

Short-term disability

Parental leave

Remote and hybrid work options

Job summary

Machinify is hiring a Content Innovation, Claims Editing expert to source, design, validate, and maintain clinical and coding content for our editing products. You will translate policy rules into precise, testable edits, document rationale, and monitor updates to keep content current.

You’ll work with Product and Data Science to define requirements, test concepts with claims data, and ensure client value through measurable improvements in edit quality and cost savings.

Qualifications

• 7+ years of experience in claims editing, clinical coding, Payment Integrity, or payer policy.
• Active coding credential or clinical license with deep coding experience.
• Deep knowledge of CPT, HCPCS, ICD-10-CM, modifiers, NCCI, MUEs, coding guidelines.

Responsibilities

• Source and author editing content; interpret updates and translate rules to editing logic.
• Validate content with claims data to test concepts and measure savings.
• Collaborate with Product, Engineering, and Data Science to turn concepts into requirements and test cases.
• Support clients and internal teams with clear documentation and rationale.

Skills

Claims editing

Clinical coding

Payer policy

SQL

Excel

Collaboration with product

AI awareness

Analytical thinking

Tools

SQL

Excel

Python

BI tools

Job description

Machinify is hiring a Content Innovation, Claims Editing expert to source, design, validate, and maintain clinical and coding content for our editing products. You will translate policy rules into precise, testable edits, document rationale, and monitor updates to keep content current.

You’ll work with Product and Data Science to define requirements, test concepts with claims data, and ensure client value through measurable improvements in edit quality and cost savings.