Centene is seeking a Clinical Investigator I to audit medical records, identify inappropriate billing practices, and recommend next steps. The ideal candidate will have RN or LPN licensure and coding experience. This is a remote position with a competitive pay range of $56,200 - $101,000 per year.
Requirements
- Audit medical records to identify inappropriate billing practices
- Perform retrospective and prepayment reviews of medical records
- Investigate, analyze, and identify provider billing patterns
- Prepare summary of findings and recommend next steps for providers
- Identify preventative measures and recommend changes to internal policies and procedures
Benefits
- Competitive pay
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
