Medical Claims Auditor
Clover Health · Remote (USA) · Full-time
Salary: USD 92,300 – 120,000 / year
Description
The Special Investigation Unit (SIU) is a motivated, collaborative team sitting at the intersection of Compliance, Payment Integrity, and Data Infrastructure. The SIU ensures that Clover monitors, identifies, and investigates instances of healthcare fraud, waste and abuse (FWA). Come join us as we discover new opportunities to enhance the fight against FWA! As a Medical Claims Auditor within our Special Investigations Unit, you will play a critical role in ensuring that Clover is able to continue to build and scale a compliant, effective FWA audit program. You will be joining a fast-growing and fast-moving startup at the intersection of healthcare and technology, where you will have the opportunity to develop both your policy and operational skills. A successful Medical Claims Auditor will have a broad coding knowledge base, including but not limited to: DME, Outpatient, ASC and Physician correct coding. This position will focus specifically on Medicare coding policies. As a Medical Claims Auditor, you will: Partner with Clinical, Claims, and SIU peers to review claims for billing and coding-related issues on both a prepayment and retrospective basis to prevent inaccurate paymen…
View full original posting → Source: Jobicy
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Questions about this job
Where is this Medical Claims Auditor job located?
It is listed as Remote (USA), so it can be done from home.
Who is hiring?
The employer shown on the listing is Clover Health.
What is the salary?
The listing shows: USD 92,300 – 120,000 / year. Confirm the exact pay, overtime and payment date with the employer before accepting.
Is it full-time or part-time?
The listing type is Full-time.
When was this job posted?
It was posted on 4 November 2026. Jobs that stay open too long are closed automatically, so apply soon if you are interested.
How do I apply?
Read the description and requirements, then click Apply now on this page (a free account is needed). You can also open the original posting to see how the employer takes applications.
Do I have to pay to apply?
No. Applying on Get Mazdoor is free, and a genuine employer does not ask for money to apply or for a "registration" or visa fee before an offer. If anyone asks you to pay, do not.
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