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    Clover Health
    Posted about 2 years ago

    Inpatient Coder Senior Associate, Payment Integrity

    Job Description

    Clover is reinventing health insurance by working to keep people healthier.
    The Payment Integrity team is a group of innovative thinkers sitting at the intersection of Clover's provider Network, Claims, and Tech teams. The Payment Integrity team ensures that Clover pays claims in an accurate manner, with a particular focus on reducing inappropriate medical spend.

    As a Senior Associate - Inpatient Coder for Payment Integrity at Clover Health, you will play a key role ensuring that Clover is able to continue to build and scale a compliant, efficient and profitable program. You will work to ensure quality assurance standards and regulatory policy are reflected in claims processing practices. You will help drive value for every member by ensuring that Clover’s medical claims are paid accurately and recovering overpayments when they are identified. The Senior Associate - Inpatient Coder monitors and coordinates the identification of provider DRG denials and upcoding.

    As an Inpatient coder Senior Associate , you will:

    • Partner with Clinical, ...

    The Real Dill ☘️

    Clover Health IPO'd back in 2021 by merging with a special purpose acquisition company (SPAC) and has been in and out of the news for various reasons over the past few years. What's clear, however, is their reach is massive - over 250,000 customers combined on it's insurance and non-insurance products. One other thing to note - they operate in the Medicare Advantage space, an area with lots of competition from both startups and traditional insurers. (November 2023)

    JL

    Jon Lee, PT, DPT, OCS, FAAOMPT, MBA

    Pickle co-founder

    About Clover Health

    Medicare Advantage insurance provider, combining coverage and flexible care model for seniors

    🚀

    MissionImprove every life

    🌟

    Wow FactorServes over 250,000 customers across its insurance and non-insurance offerings

    Company benefits

    • 🔐 Health insurance
    • 🦷 Dental
    • 👀 Vision
    • 🏡 WFH stipend
    • 🐣 Maternity/paternity leave

    Pickle is not affiliated with listed companies unless otherwise noted.

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