# APC Coding Validation Specialist at Machinify

- Company: Machinify
- What the company does: Backed by Battery and GV.
- Company website: http://www.machinify.com/
- Type: Startups
- Level: Mid level
- Location: Remote - US
- Work setup: Remote
- Pay: $85K to $100K base salary per year (USD)
- Posted: 2026-03-13
- Apply by: 2026-10-08
- Apply: https://job-boards.greenhouse.io/machinifyinc/jobs/4183325009
- Page: https://www.1752.vc/careers/jobs/machinify-apc-coding-validation-specialist/

## About the role

As a Coding Validation Specialist on the Complex Payment Solutions Team, you will play a critical role in performing comprehensive outpatient payment validation reviews. Leveraging your expertise in coding guidelines, outpatient reimbursement methodologies, and regulatory requirements, you will ensure accurate and compliant payment determinations.

## What they're looking for

- Conduct comprehensive reviews to validate the accuracy of billed charges against medical documentation, payer policies, coding guidelines, and industry standards to ensure appropriate reimbursement
- Apply expert-level knowledge of NCCI edits, including appropriate modifier usage, as well as CPT and HCPCS coding guidelines
- Interpret and apply Medicare Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs)
- Produce clear, concise, and defensible audit findings that accurately articulate reimbursement impact
- Work effectively both independently and collaboratively within a production-driven environment
- Maintain established accuracy, quality, and productivity standards, including correct code assignment and thorough documentation of review outcomes

Tags: Support