Inpatient Coder Associate, Payment Integrity
Clover Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $70,000 - $86,000 per year
About the role
- 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.
- Proactively identify overpayments to ensure accurate claims payments on inpatient services.
- Participate in collaborative discussions with MDs to verify the clinical rationale behind billed procedures.
- Communicate effectively while building trust and lasting partnerships both laterally and vertically across multi-discipline teams.
- Communicate effectively both internally and externally to ensure accurate claims adjudication and proper provider notification.
Requirements
- You hold a CCS certification or similar inpatient coding certification; required
- Knowledge of DRG pricing methodology; required.
- You have 1-2 years of experience in inpatient clinical coding; preferred
- Medicare or Medicare Advantage payment integrity or claims operations experience; preferred
- You are technologically savvy with strong computer skills in Excel and PowerPoint.
Benefits
- Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
- Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
- Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location.
- Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.
- Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities.
- Reimbursement for office setup expenses.
- Monthly cell phone & internet stipend.
- Remote-first culture, enabling collaboration with global teams.
- Paid parental leave for all new parents.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
inpatient codingDRG pricing methodologyclaims adjudicationoverpayment identification
Soft Skills
effective communicationtrust buildingcollaborationpartnership development
Certifications
CCS certification