Clover Health
Inpatient Coder Associate, Payment Integrity
Remote - USA · Staff+
Sponsorship not specified$80k-$110kDetected 20 days ago
ComplianceExcelCollaborationMentoringClaims Management
About the role
- 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.
- You will work to ensure quality assurance standards and regulatory policy are reflected in claims processing practices.
Responsibilities
- Continued success in this position anchors in on developing a deep understanding of the workflows that support our clinical review life cycle, while maintaining regulatory compliance standards.
- Partner with Clinical, Claims, and Payment Integrity peers to review claims for DRG related issues on a prospective and retrospective basis that drive inaccurate payments to providers.
- Communicate effectively while building trust and lasting partnerships both laterally and vertically across multi-discipline teams.
Nice to have
- You hold a CCS or CIC certification
- Knowledge of DRG pricing methodology
- You have 1-2 years of experience in inpatient clinical coding
- Medicare or Medicare Advantage payment integrity or claims operations experience
- You are technologically savvy with strong computer skills in Excel and PowerPoint.
Compensation
- $80,000 - $110,000 USD
- A reasonable estimate of the base salary range for this role is:
Benefits
- Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
- Reimbursement for office setup expenses
- Monthly cell phone & internet stipend
- Paid parental leave for all new parents
- About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier.
- We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.
- Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.
- Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one's identity.
- Final pay is based on several factors including but not limited to internal equity, market data, and the applicant's education, work experience, certifications, etc.
Company info
- We are an E-Verify company.
Equal opportunity
- We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives.
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This listing is sourced directly from Clover Health's careers page and normalized into a canonical job model.