DME Supervisor

Location: Remote - US

Expected annual salary range: $85,000–$110,000

Company

hirify.global is a healthcare intelligence company providing an AI-powered platform and expertise across the healthcare payment continuum for health plan clients.

What you will do

• Supervise daily activities and performance of remote clinical audit staff, including salaried and hourly employees.
• Perform a limited volume of clinical audits, quality assurance reviews, appeals support, and rebuttal resolution to maintain subject matter expertise and support business needs.
• Manage audit inventory, capacity planning, staffing levels, productivity, quality standards, and service-level timelines.
• Review audit determinations for consistency and use data and reports to identify backlogs, trends, operational issues, and improvement opportunities.
• Coach staff, provide performance feedback, conduct reviews and team meetings, and support training and professional development.
• Collaborate with management, HR, other departments, clients, and subcontractors to resolve issues and implement new concepts and processes.

Requirements

• Current active unrestricted nursing license in good standing is required; candidates must not be sanctioned or excluded from the Medicare program by OIG.
• At least 3 years of diverse nursing experience in an inpatient or outpatient setting.
• At least 2 years of medical record audit experience in a provider or payer setting.
• At least 5 years of healthcare claims experience with ICD-9/ICD-10, HCPCS/CPT, DRG, and medical billing; candidates with less experience may be considered based on demonstrated skills, formal training, or relevant experience.
• Strong knowledge of medical documentation, CMS, Medicaid, Commercial insurance coverage and payment rules, medical billing, reimbursement policies, and claims software.
• Experience with MCS 1500 and UB-04 forms, encoders, utilization management systems or clinical decision-making tools, EHRs, reporting tools, and intermediate Excel.

Nice to have

• Medical coding certification.
• At least 3 years of relevant supervisory or leadership experience, preferably managing remote staff.
• Experience with payer edit development or reimbursement policy.

Culture & Benefits

• Remote work environment with independent ownership and minimal supervision.
• Collaborative culture focused on open communication, continuous improvement, and high-performing teams.
• Employment at will and equal employment opportunity workplace.
• Participation in E-Verify as required by applicable law.