CH
$74,000 – $90,000
Listed on Cohere Health’s own careers site. You apply with them directly — we never stand between you and the employer.
What this role is
This role audits hospital inpatient billing claims for coding accuracy and overpayment recovery, using DRG coding expertise to ensure correct reimbursement assignments. It suits experienced auditors with clinical coding credentials who work independently and enjoy precision-focused analytical work in healthcare payment integrity.
Our summary, not Cohere Health’s wording. The full posting is on their site.
What they ask for
Required
- 6+ years of MS-DRG and APR-DRG auditing experience at a payer or Payment Integrity vendor
- Active certified coder credential (CIC, CPC, CCS, RHIA, or RHIT)
- Advanced expertise in ICD-10-CM/PCS coding
- Ability to work independently in a remote environment
- Meets or exceeds quality and productivity standards
Nice to have
- CCS (Certified Coding Specialist) credential
- RHIA or RHIT credential or Associate's degree in Health Information Management, Nursing, or related field
- Experience with inpatient case rate and per diem audits
- Experience in a start-up or high-growth company
- Familiarity with Mac computers
- Experience with diverse, global teams