Job Closed

This listing is no longer active.

Clover Health logo
Clover Health

Clover is a healthcare technology company helping members live their healthiest lives with our Medicare Advantage plans.

Inpatient Coder Associate, Payment Integrity

Medical Billing and CodingMedical Billing and CodingOtherRemoteMid LevelTeam 501-1,000H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

144 days ago

Salary

$70K - $86K / year

Seniority

Mid Level

Professional Certificate2 yrs expEnglish

Job Description

Inpatient Coder Associate, Payment Integrity

Clover Health

• 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.

Job 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.

Related Categories

Related Job Pages

More Medical Billing and Coding Jobs

Blew & Associates, P.A. logo

Survey Technician Richmond, VA

Blew & Associates, P.A.

For over 130 years we provide complete surveying and civil engineering services across the U.S.

OtherRemoteTeam 201-500Since 1891H1B No Sponsor

Blew & Associates, P.A. is a leading national firm specializing in land surveying, engineering, and environmental services, boasting over 130 years of industry experience. We are seeking a Survey Crew Chief to meet the growing demands of our clients nationwide. The selected candidate will oversee survey activities conducted in the field and ensure the quality of all survey deliverables. #zr Responsibilities - Responsible for collecting data to ensure the completion of a project: - Locating boundary, pins, improvements, utilities, etc., while performing various project types, including ALTA, boundary, construction staking, and topographic surveys. - Check and reduce raw field data, perform calculations, and download/file survey data. - Perform project research as needed. - Follow instructions and work orders from project managers. - Communicate daily with your Field Project Manager to confirm if you are on track to complete your field schedule and inform them when you are behind or ahead of schedule. - Physical work environment demands: - Ability to safely traverse and navigate rugged terrain in remote areas. - Ability to regularly work outside in all weather conditions, including extreme heat, cold, wet, and muddy conditions, with high/precarious places. - Ability to transport heavy equipment to various job sites (regularly lifting/moving up to 25 pounds, frequently lifting/moving up to 50 pounds, and occasionally lifting/moving up to 100 pounds). - Ability to travel regionally and nationally often. - Ability to work overtime, including weekends as needed. - Develop and maintain excellent relationships with clients, contractors, and team members - Ensure that projects are completed safely and efficiently, adhering to project schedules and budgets - Maintain survey equipment and troubleshoot issues that arise in the field #zr

Virginia
Baptist Health System KY & IN logo

Outpatient Surgery Coder

Baptist Health System KY & IN

To demonstrate the love of Christ by providing and coordinating care and improving health in our communities.

OtherRemoteTeam 10,001+Since 1924H1B No Sponsor

• Ensure accurate coding on outpatient surgery and observation encounters • Utilize ICD 10-CM and CPT coding • Maintain up-to-date coding guidelines • Review medical records for supporting documentation

Kentucky
Job Closed

Physician - 1099

LifeMD

LifeMD is a rapidly growing telehealth company that delivers virtual primary care and treatment services nationwide. Founded in 1987 and headquartered in New York, New York, LifeMD

About us LifeMD is a leading digital healthcare company committed to expanding access to virtual care, pharmacy services, and diagnostics by making them more affordable and convenient for all. Focused on both treatment and prevention, our unique care model is designed to optimize the patient experience and improve outcomes across more than 200 health concerns.  To support our expanding patient base, LifeMD leverages a vertically-integrated, proprietary digital care platform, a 50-state affiliated medical group, a 22,500-square-foot affiliated pharmacy, and a U.S.-based patient care center. Our company — with offices in New York City; Greenville, SC; and Huntington Beach, CA — is powered by a dynamic team of passionate professionals. From clinicians and technologists to creatives and analysts, we're united by a shared mission to revolutionize healthcare. Employees enjoy a collaborative and inclusive work environment, hybrid work culture, and numerous opportunities for growth. Want your work to matter? Join us in building a future of accessible, innovative, and compassionate care. About the role We are seeking a Physician who resides in the state of Alabama, is able and willing to serve as a supervising Physician, is licensed in multiple states and is interested in providing patient care through our state-of-the-art telehealth platform. As a highly valued member of our dynamic team, you will collaborate with experienced Physicians, Nurse Practitioners, and a supportive staff. With the combined efforts of our team, we are determined to provide unparalleled care to our invaluable patients at LifeMD. Responsibilities - Deliver comprehensive clinical care through both text-based and video-based consultations, ensuring the wellbeing of the patients - Empower patients with knowledge by educating them on suitable treatments and personalized care plans for their specific health needs - Oversee patient follow-ups for ongoing care programs, ensuring continuity and effectiveness of treatment - Prescribe medication and provide timely refills as needed, ensuring patients have access to appropriate medications - Embrace remote work by conducting full-time telemedicine consultations. Enjoy the flexibility of 4-10 hour shifts while serving patients through our virtual primary care and weight loss offerings

South Carolina
$145 / hour
Job Closed

Physician - 1099

LifeMD

LifeMD is a rapidly growing telehealth company that delivers virtual primary care and treatment services nationwide. Founded in 1987 and headquartered in New York, New York, LifeMD

About us LifeMD is a leading digital healthcare company committed to expanding access to virtual care, pharmacy services, and diagnostics by making them more affordable and convenient for all. Focused on both treatment and prevention, our unique care model is designed to optimize the patient experience and improve outcomes across more than 200 health concerns.  To support our expanding patient base, LifeMD leverages a vertically-integrated, proprietary digital care platform, a 50-state affiliated medical group, a 22,500-square-foot affiliated pharmacy, and a U.S.-based patient care center. Our company — with offices in New York City; Greenville, SC; and Huntington Beach, CA — is powered by a dynamic team of passionate professionals. From clinicians and technologists to creatives and analysts, we're united by a shared mission to revolutionize healthcare. Employees enjoy a collaborative and inclusive work environment, hybrid work culture, and numerous opportunities for growth. Want your work to matter? Join us in building a future of accessible, innovative, and compassionate care. About the role We are seeking a Physician who resides in the state of Georgia, is able and willing to serve as a supervising Physician, is licensed in multiple states and is interested in providing patient care through our state-of-the-art telehealth platform. As a highly valued member of our dynamic team, you will collaborate with experienced Physicians, Nurse Practitioners, and a supportive staff. With the combined efforts of our team, we are determined to provide unparalleled care to our invaluable patients at LifeMD. Responsibilities - Deliver comprehensive clinical care through both text-based and video-based consultations, ensuring the wellbeing of the patients - Empower patients with knowledge by educating them on suitable treatments and personalized care plans for their specific health needs - Oversee patient follow-ups for ongoing care programs, ensuring continuity and effectiveness of treatment - Prescribe medication and provide timely refills as needed, ensuring patients have access to appropriate medications - Embrace remote work by conducting full-time telemedicine consultations. Enjoy the flexibility of 4-10 hour shifts while serving patients through our virtual primary care and weight loss offerings

Georgia
Job Closed