Inpatient Coder Associate, Payment Integrity

Clover Health · Remote, USA

Full-timeRemoteYesterday

Not open to applicants in Nigeria. This employer hires from: United States only. Apply only if you are based there.

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About this role

The Inpatient Coder Associate on Clover Health's Payment Integrity team reviews inpatient claims for DRG errors and upcoding, both before and after payment, to make sure providers are paid accurately and overpayments are identified and recovered. The role suits someone with clinical coding knowledge and medical records review skills who can work with clinicians, claims staff, and tech teams to validate billed procedures and communicate findings to providers. A standout requirement is the expectation to participate in discussions with physicians to verify the clinical rationale behind billed procedures.

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