Clinical Investigator I (Special Investigation Unit) at Centene

This role is designed for a licensed clinical professional with at least two years of experience who holds a coding certification from AAPC or AHIMA. You should have a deep understanding of medical billing patterns and the ability to spot fraud or abuse through detailed record audits. **What makes it worth a look...** The major draw here is the combination of a fully remote work arrangement and the stability of a massive healthcare organization. Centene offers a substantial benefits package including stock purchase plans and tuition reimbursement, with a wide salary range that allows for growth based on your specific clinical license and expertise. **You might be a good fit if you...** * Hold an active RN, LPN, LCSW, or similar clinical license plus a coding certification. * Are comfortable reviewing medical records to identify inappropriate billing or provider fraud. * Can translate complex data into clear summaries that recommend specific corrective actions. * Have experience with regulatory or state guidelines regarding medical claims and practice standards.