Clover Health · 17 hours ago
Inpatient Coder Associate, Payment Integrity
United States
Full-time
Remote
Entry Level
$70K/yr - $86K/yr
1+ years expClover Health is a company focused on reinventing health insurance by combining data with empathy to improve member health. The Inpatient Coder Associate role involves ensuring accurate claims processing and reducing inappropriate medical spend through collaboration with various teams and maintaining regulatory compliance.
Health CareHealth InsuranceHospitalMedical
Responsibilities
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
Qualification
Required
You hold a CCS certification or similar inpatient coding certification; required
Knowledge of DRG pricing methodology; required
Preferred
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
401k matching
Comprehensive medical, dental, and vision coverage
No-Meeting Fridays
Monthly company holidays
Access to mental health resources
Generous flexible time-off policy
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
Company
Clover Health
Clover is a healthcare technology company helping members live their healthiest lives with its Medicare Advantage plans.
501-1000 employees
Funding
Current Stage
Public CompanyTotal Funding
$1.62BKey Investors
GreenoaksSequoia CapitalFirst Round Capital
2021-11-17Post Ipo Equity· $300M
2021-01-08Post Ipo Equity· $400M
2021-01-08IPO
Leadership Team
Andrew Toy
Chief Executive Officer and Board Member (NASDAQ : CLOV)
Jamie Reynoso
Chief Executive Officer
Recent News
Fierce Healthcare
2026-01-19
2026-01-16
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