Assistant Manager

Job not on LinkedIn

October 24

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $105k - $110k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Machinify, Inc.

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Artificial Intelligence • Healthcare Insurance • Fintech

Machinify, Inc. is a company specializing in artificial intelligence solutions for the healthcare industry, particularly in optimizing payment processes and enhancing payment integrity. Their product suite, including Machinify Audit and Machinify Pay, is designed to automate and improve the accuracy of medical claims review, identifying billing and coding errors, and reducing administrative costs. Machinify's AI-driven platform covers millions of healthcare members and delivers significant financial benefits by efficiently processing medical claims and empowering health plans to tailor their policies. With a focus on transparency, control, and safety in AI, Machinify offers customized solutions that adapt to the specific needs of healthcare providers and contribute to the transformation of healthcare payments.

51 - 200 employees

🤖 Artificial Intelligence

⚕️ Healthcare Insurance

💳 Fintech

💰 $10M Series A on 2018-10

📋 Description

• Assist the Manager to support the CVS’s • Exhibit leadership skills in helping CVS’s to become strong and confident individual and team members • Monitors performance and mentors CVS’s in their team to achieve excellent quality of work and high production • Assist each team member to maintain and improve their quality of work • Monitors work queues to assure priority cases are reviewed on time • Performs secondary quality reviews looking for missed opportunities • Assists the CVS’s by reviewing and responding to questions submitted by the CVS team • Provides individual CVS education and training with the goal of increasing CVS knowledge • Assures appeals are responded to no later than 30 days after receipt • Analyze appeals looking for team member trends • Maintains awareness of and ensures compliance with coding guidelines and conventions, state and federal regulations, client specific policies and VARIS policies and procedures and shares applicable changes with appropriate individuals in the organization • Maintains and ensures the protection of patient information with the application of the HIPAA standards and individual client contracts and policies • Performs or assists with system testing and special projects as needed • Performs selections and identifies methods to optimize the results of the selection process • Performs case validations • Performs other duties as assigned

🎯 Requirements

• National certification as Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), and/or Certified Coding Specialist (CCS) • Highly recommend ICD-10 specialized training • Comprehensive knowledge of the DRG structure and other health care payment methodologies and regulatory requirements • Minimum of five to seven years hospital inpatient coding for PPS reimbursement or at least 2 years experience performing DRG validation • Proven self-direction in the planning and execution of DRG validation and recovery functions • Demonstrated exemplary professional coding judgment • Confirmed effective communication in staff supervision and teaching • Proven operations analysis, including productivity and financial skills • Ability to adhere to the highest ethical standards including honesty, integrity, dedication and leadership • Demonstrated ability to gain support for ideas and lead others to accomplish objectives • Demonstrated success rate in selection of cases that result in overpayment/recovery • Organization, flexibility and multiple task/project orientation to handle duties assigned • Skill in focusing on desired results, determining what is important and urgent, clarifying next steps, and delegating effectively to meet deadlines and achieve desired results • Must possess excellent oral, written and presentation skills • Demonstrated proficiency in multiple computer applications (MS Office), DRG Grouper/Pricer software, and encoder software.

🏖️ Benefits

• PTO • Paid Holidays • 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 • Parental leave • Remote and hybrid work options