Inpatient Coder Associate, Payment Integrity
Clover Health(8 days ago)
About this role
The Inpatient Coder Associate on Clover Health’s Payment Integrity team helps ensure medical claims are paid accurately and inappropriate spend is reduced by supporting a compliant, scalable payment integrity program. The role focuses on DRG validation, coding quality assurance, and supporting accurate claims adjudication to protect member and payer financial integrity.
Required Skills
- Inpatient Coding
- DRG Pricing
- Medical Coding
- Claims Review
- Medical Records
- Clinical Review
- Excel
- PowerPoint
- Provider Communication
- Overpayment Recovery
+1 more
Qualifications
- CCS Certification
About Clover Health
cloverhealth.comClover Health is a Medicare Advantage provider offering HMO and PPO plans—many with $0 monthly premiums—bundling expanded benefits like dental, vision, and hearing. Headquartered in Jersey City, NJ, the company serves Medicare beneficiaries across multiple U.S. markets. Clover emphasizes a technology- and data-driven approach to care management, aiming to support providers, coordinate primary care, and improve member outcomes. It positions itself as a member-focused alternative designed to lower costs and simplify access to preventive and routine services.
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