{"id":257697,"url":"https://alion.io/job/clover-health-inpatient-coder-associate-payment-integrity","title":"Inpatient Coder Associate, Payment Integrity","company":{"id":7091,"name":"Clover Health","domain":"cloverhealth.com","url":"https://alion.io/company/clover-health","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Greenhouse","truth_index":{"grade":"B","score":84,"open_postings":8,"ghost_share":0,"stale_share":0.375,"repost_share":0.125,"time_to_fill_p50_days":66,"computed_at":"2026-10-27T05:46:45Z"}},"role":"Industrial Engineering","role_family":"Industrial Engineering","seniority":"junior","employment_type":null,"work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"posting_text","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":63800,"max":83000,"currency":"USD","period":"year","gross":null,"usd_annual":83000},"salary_estimate":null,"experience_years_min":1,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[],"status":"live","first_seen_at":"2026-05-22T16:54:34Z","employer_posted_date":"2026-10-22","last_verified_at":"2026-10-27T12:47:06Z","board_verified":true,"closed_at":null,"days_open":157,"trust":{"level":"ok","repost_count":1,"flags":[],"days_open":157},"description":"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.\nAs an Inpatient Clinical Coder 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 Associate - Inpatient Coder coordinates the identification of provider DRG denials and upcoding.\nAs an Inpatient Clinical Coder, you will:\nPartner 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.\nProactively identify overpayments to ensure accurate claims payments on inpatient services.\nParticipate in collaborative discussions with MDs to verify the clinical rationale behind billed procedures.\nCommunicate effectively while building trust and lasting partnerships both laterally and vertically across multi-discipline teams.\nCommunicate effectively both internally and externally to ensure accurate claims adjudication and proper provider notification.\nSuccess in this role looks like:\nBy the end of your initial 90-day period, you will have demonstrated a strong understanding of clinical coding practices and medical records review, while assisting our team in areas of DRG validation.\nBy 6 months, you will be working autonomously to execute within our clinical review workflows and will have developed strong interpersonal relationships across the organization.\nContinued success in this position anchors in on developing a deep understanding of the workflows that support our clinical review life cycle, while maintaining regulatory compliance standards.\nYou should get in touch if:\nYou hold a CCS or CIC certification; required.\nKnowledge of DRG pricing methodology; required.\nYou have 1-2 years of experience in inpatient clinical coding; preferred\nMedicare or Medicare Advantage payment integrity or claims operations experience; preferred\nYou are technologically savvy with strong computer skills in Excel and PowerPoint.\nBenefits Overview: \nFinancial 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.\nPhysical 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.\nMental 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. \n Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.\nAdditional Perks:\nEmployee Stock Purchase Plan (ESPP) offering discounted equity opportunities\nReimbursement for office setup expenses\nMonthly cell phone & internet stipend\nRemote-first culture, enabling collaboration with global teams\nPaid parental leave for all new parents\nAnd much more!\nAbout Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.\nWe always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.\nFrom Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.\n#LI-REMOTE\nPursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.\nFinal pay is based on several factors including but not limited to internal equity, market data, and the applicant’s education, work experience, certifications, etc.\nA reasonable estimate of the base salary range for this role is:\n$63,800—$83,000 USD","description_format":"text","description_chars":5638,"description_truncated":false,"requirements":{"experience_years_min":1,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["401k plan","Equity","Health insurance","Parental leave","Professional development"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Revenue Cycle & Medical Billing","Clinical Decision Support","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-09-05T11:30:57Z"},{"event":"close","at":"2026-09-17T23:47:15Z"},{"event":"reopen","at":"2026-10-23T00:37:13Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 2","filings_12m":2,"filings_prev_12m":1,"green_card_filings_12m":0,"median_offered_wage_usd":162500,"route":null,"cap_exempt":false,"checked_at":"2026-10-15T11:24:14+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)"],"filings_for_role_12m":0}],"liveness":{"score":11,"band":"cold","label":"Long shot","p_open":1,"p_active":0.38,"p_room":0.28,"age_days":157,"expected_fill_days":66,"reasons":["conf:1","velocity","win:tail","crowd:junior"],"computed_at":"2026-10-27T05:46:45Z"},"pay":{"stated_usd_annual":83000,"is_top_pay":false},"html_url":"https://alion.io/job/clover-health-inpatient-coder-associate-payment-integrity","json_url":"https://alion.io/job/clover-health-inpatient-coder-associate-payment-integrity.json","meta":{"generated_at":"2026-10-27T14:34:27Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":3143,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-28T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":7091},"rest":"https://alion.io/mcp/rest/get_company?id=7091"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fclover-health-inpatient-coder-associate-payment-integrity"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fclover-health-inpatient-coder-associate-payment-integrity"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fclover-health-inpatient-coder-associate-payment-integrity"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/clover-health-inpatient-coder-associate-payment-integrity\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fclover-health-inpatient-coder-associate-payment-integrity"}]}