Ideal for a licensed healthcare professional, such as an RN, LPN, or therapist, who holds a professional coding certification. You need at least two years of cl
Work type: remote
Location: Remote-FL | Remote-GA | Remote-MT | Remote-KS | Remote-MS | Remote-IN | Remote-MO | Remote-KY | Remote-MN
Salary: $56,200 – $101,000/yr
Type: Full-time
Ideal for a licensed healthcare professional, such as an RN, LPN, or therapist, who holds a professional coding certification. You need at least two years of clinical experience to qualify for this investigative role. **What makes it worth a look...** Centene offers a salary range of $56,200 to $101,000 per year for this fully remote position. The role provides a comprehensive benefits package including a 401K plan and tuition reimbursement while allowing for a flexible work environment. **You might be a good fit if you...** * Hold an active clinical license like RN, LPN, LPC, LCSW, PT, OT, or ST. * Possess a recognized coding certification from AAPC or AHIMA. * Have direct experience conducting medical record audits. * Are comfortable identifying patterns of billing abuse and fraud.
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
# POSITION IS REMOTE
IDEAL CANDIDATE WILL HAVE CODING EXPERIENCE*Position Purpose:
Audit medical records to identify inappropriate billing practices and recommend next steps through extensive review of claims data, medical records, corporate policy, state/federal policy, and practice standards.
Associate's Degree related field or equivalent experience preferred
2+ years related clinical experience in the field of obtained license required
Provider education preferred
Licenses/Certifications:
Coding certification from an accredited organization (American Academy of Professional Coders or American Health Information Management Association), RN, LPC, LPN, LCSW, LMHC, PT, OT, or ST or related license. required
Pay Range: $56,200.00 - $101,000.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.