Remote Inpatient Clinical Coder - Payment Integrity
Clover Health
- Remote job
Clover Health is seeking an Inpatient Clinical Coder to ensure accurate payment of medical claims and identify overpayments within a remote, USA-based role. You’ll work with Clinical, Claims, and Payment Integrity colleagues to review DRG-related issues and verify clinical rationale with MDs, contributing to compliant, efficient claim processing. Required CCS/CIC certification and 1–2 years of inpatient coding experience, with strong Excel/PowerPoint skills. #J-18808-Ljbffr Clover Health
$63.8k - $83k
The Payment Integrity team is a group of innovative thinkers sitting at the intersection of... ...inappropriate medical spend. As an Inpatient Clinical Coder at Clover Health, you will play a key... ...policy. Additionally, we embrace a remote-first culture that supports collaboration...Remote workFull timeWork experience placementWork at officeFlexible hours- ...Description: The Revenue Integrity Department at the... ...you are a credentialed coder with strong coding skills... ...the Job: The Hospital Inpatient Coder is responsible... ...supports the integrity of clinical documentation and... ...Work Shift: 8-430 - Remote SolutionHealth is an...Remote workFull timeTemporary workPart timeWork at officeShift work
$68.64k - $74.88k
...based care through neighborhood clinics, grounded in a simple belief:... ...that values teamwork, integrity, and accountability, you’ll feel... ...at home here. Location: Remote within the U.S.; preference for... ...Bring: ~ Professional Coder (CPC) Certification ~3+...Remote workHourly payFull timeLocal area$100k - $110k
...Payment Integrity Manager (RN) Fully remote, open to candidates located anywhere in the United States. Make a Meaningful Impact on Healthcare Quality... ...system. In this role, you'll partner with clinical, coding, and operational teams to ensure payments are...Remote workFull time- A healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced...Remote work
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- ...Payment Integrity is seeking a Project Manager to support implementation work across Medicare, Medicaid, and Marketplace programs. The role is intended to coordinate new and renewing programs that affect providers and members while supporting broader departmental projects...Remote workFull timeWork at office
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- Pivotal Placement Services, Inc is seeking a Payment Integrity Manager, an RN with coding expertise,... ...performance. You will collaborate with clinical, coding, and operational teams to... ...across the organization. This is a fully remote role across the United States. #J-1880...Remote job
- Mosaic Life Care is seeking a Payment Validation Analyst to ensure accurate payments from payors and to oversee line-level validation... ...WQ where applicable. The role supports the Director of Revenue Integrity in maintaining clean, compliant revenue cycles across hospital...Remote job
- Centene Corp. is seeking a Business Analyst II for Payment Integrity. This remote-friendly role analyzes data to link business needs with objectives, supports initiatives with testing and requirements gathering, and coordinates with multiple teams to improve processes....Remote jobFlexible hours
- Medix is seeking an RN-Coder Clinical Validation Reviewer to support payment integrity and clinical validation workflows in a hybrid setup. The role emphasizes reviewing... ...active RNs with CPC or CCS certs, experienced in inpatient/outpatient review and familiar with CPT/ICD...Remote jobWork at office
- CorVel Corporation is seeking a Payment Integrity Analyst to review pre and post pay claim audits... ...and client policies. This is a remote position with responsibilities spanning... ...documentation review, and coordination with clinical teams. The role requires licensure (LPN...Remote job
- CorVel Corporation seeks a Payment Integrity Analyst (Team Lead) to supervise the Policy and Payment Integrity (PPI) team while overseeing audits... ..., staff training, and timely completion of audits, with a remote work arrangement. Strong knowledge of CMS policies, ICD-10...Remote job
- ...Inpatient Coder (Remote)Full-time • Work From HomeMust have CCS, RHIA, or RHIT certificationJob SummaryAs a Coding Integrity Specialist III WORK FROM HOME, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, edit and/or validate...Remote workFull timeWork from home
- ...Senior Frontend Engineer for a 6-month contract to support a payments integration within a trading marketplace. The role emphasizes scalable frontend development using NextJS and GraphQL, with fully remote work. Trading experience or payments integration background is...Remote jobContract work
- CorVel Corporation is seeking a Payment Integrity Analyst (Team Lead) to guide the Policy and Payment... ...requires strong analytical abilities, clinical judgement, and proficiency in... ...cycle processes, with the ability to lead a remote #J-18808-Ljbffr CorVel CorporationRemote job
- A leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily operations of the payment integrity team. Responsibilities... ...and maintain a focus on improving service delivery. This remote position requires strong experience in claims processing and...Remote jobDaily paid
$82.72k - $108.57k
Oscar Health is hiring an Associate to join the Payment Integrity team. This remote role supports process improvements and issue resolution within Oscar's claim environment, working cross-functionally to translate friction into actionable improvements. You will report to...Remote job- ...Addison GroupPosted: 2026-10-13Addison Group is seeking a Remote Inpatient Medical Coder to join a rapidly growing healthcare services... ...-PCS codes, ensure compliance, and support documentation integrity and reimbursement accuracy.This fully remote role offers...Remote work
- Valenz Group is seeking a Strategic Account Executive - Payment Integrity to lead and expand strategic client relationships within our Payment Integrity practice. You will serve as a senior commercial advisor, understanding client cost pressures, claims performance, and...Remote job
- ...Analyst (Kafka Pipeline, AWS setup, Data Pipelines, Python, Payment integrity)Posted Date: 2026-08-28Contact: Vishika ChaudharyContact Email... ...Lois, MO/ Dallas (Brillio)/ New York (Brillio)/ Last option is remote Experience- 7+ Years We are seeking an experienced Senior...Remote workContract work
- Inpatient CoderPosition SummaryFusionHCR is seeking an experienced Inpatient Coder responsible for the expert coding of inpatient medical... ...accurate reimbursement, clinical data integrity, research, utilization review... ...position located in Las Vegas, NV. No remote considered.Remote work
- The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10... ...coding guidelines, knowledge of clinical disease processes, and... ...coders. Responsibilities Remote States: Candidates residing... ...with clinical documentation integrity specialists, revenue integrity...Remote workFull timeWork experience placement
- ...To ensure accurate coding and data integrity, the full-time Inpatient Coder - Remote will manage the coding and abstracting of clinical information from medical records for assigned facilities while assisting with quality reviews and training new coders. Key responsibilities...Remote workFull time
- Gainwell Technologies is seeking a Senior Data Mining & Payment Integrity Analyst. You will design and develop data mining concepts to identify improper payments and improve claims accuracy across dental, medical, and pharmacy billing. This role requires healthcare reimbursement...Remote job
- Elevance Health is seeking a Director of Financial Operations for Payment Integrity Operations. The role blends in-office collaboration (3 days/week) with flexible remote work, aiming to align operations with strategy and drive process excellence across the organization...Remote workWork at officeFlexible hours3 days per week
$50 - $70 per hour
...Medical Coder (CCS / CIC) – Remote (Worldwide) THIS IS A FULLY REMOTE POSITION... ...of Work Annotate and review inpatient medical records, including... ...Reporting, and AHA Coding Clinic guidance, while identifying... ...ambiguities, and ensure data integrity. Deliver high-quality...Remote workFor contractorsWorldwide$54.91k - $79.04k
...The Corporate Coder (“CC”) functions under the direction of the... ...accurate coding and abstracting of clinical information from the medical... ...for coding data quality and integrity, as well as productivity... ...or CCS, etc.). ~1-3 years inpatient coding experience. ~ Skilled...Remote workHourly payFull timeLocal areaRelocation packageFlexible hours
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