Clover Health

The Inpatient Clinical Coder at Clover Health is a key part of the Payment Integrity team, coordinating DRG denial reviews and identifying overpayments to ensure accurate inpatient payments. You will collaborate with Clinical, Claims, and MDs to verify clinical rationale behind billed procedures and drive compliant, efficient claim processing across the organization. Ideal candidates hold CCS or CIC certification, have 1–2 years of inpatient coding experience, and are proficient in Excel and #J-18808-Ljbffr

The Payment Integrity team is a group of innovative thinkers sitting at the intersection of Clover's provider Network, Claims, and Tech teams. The Payment Integrity team ensures that Clover pays claims in an accurate manner, with a particular focus on reducing inappropriate medical spend. As an Inpatient Clinical Coder at Clover Health, you will play a key role ensuring that Clover is able to continue to build and scale a compliant, efficient and profitable program. You will work to ensure quality assurance standards and regulatory policy are reflected in claims processing practices. You will help drive value for every member by ensuring that Clover's medical claims are paid accurately and recovering overpayments when they are identified. The Associate - Inpatient Coder coordinates the identification of provider DRG denials and upcoding. As an Inpatient Clinical Coder, you will: As an Inpatient Clinical Coder, you will: Partner with Clinical, Claims, and Payment Integrity peers...

Clover Health is seeking an Inpatient Clinical Coder to ensure accurate payment of medical claims and identify overpayments within a remote, USA-based role. You’ll work with Clinical, Claims, and Payment Integrity colleagues to review DRG-related issues and verify clinical rationale with MDs, contributing to compliant, efficient claim processing. Required CCS/CIC certification and 1–2 years of inpatient coding experience, with strong Excel/PowerPoint skills. #J-18808-Ljbffr

Remote - USA The Payment Integrity team is a group of innovative thinkers sitting at the intersection of Clover's provider Network, Claims, and Tech teams. The Payment Integrity team ensures that Clover pays claims in an accurate manner, with a particular focus on reducing inappropriate medical spend. As an Inpatient Clinical Coder at Clover Health, you will play a key role ensuring that Clover is able to continue to build and scale a compliant, efficient and profitable program. You will work to ensure quality assurance standards and regulatory policy are reflected in claims processing practices. You will help drive value for every member by ensuring that Clover’s medical claims are paid accurately and recovering overpayments when they are identified. The Associate - Inpatient Coder coordinates the identification of provider DRG denials and upcoding. As an Inpatient Clinical Coder, you will: Partner with Clinical, Claims, and Payment Integrity peers to review claims for DRG related...

Clover Health is seeking an Inpatient Clinical Coder to ensure accurate payment of medical claims and identify overpayments within a remote, USA-based role. You’ll work with Clinical, Claims, and Payment Integrity colleagues to review DRG-related issues and verify clinical rationale with MDs, contributing to compliant, efficient claim processing. Required CCS/CIC certification and 1–2 years of inpatient coding experience, with strong Excel/PowerPoint skills. #J-18808-Ljbffr