DRG Validation Auditor
Clover Health EN
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In brief
Clover Health is hiring: DRG Validation Auditor in the US.
Duties
- As an DRG Validation Auditor at Clover Health, you will play a key role ensuring that Clover is able to continue to build and scale a compliant…
- 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…
- As an DRG Validation Auditor, you will:
Required profile
- You hold a CCS or CIC certification; required.
- Knowledge of DRG pricing methodology; required.
- You have at least 1 year of direct inpatient clinical coding experience.
- Medicare or Medicare Advantage payment integrity or claims operations experience; preferred
Benefits
- Benefits Overview:
- Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional…
Excerpt from the ad
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…
Source: ad by Clover Health, published on Careers pages (ATS). MakeYouFirst summarises this ad; the advertiser remains responsible for its content.
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