Clinical Investigator I (Special Investigation Unit) at Centene

You're an RN or LPN with coding experience, ideally with a background in a Special Investigations Unit (SIU) or fraud department within an insurance company, and possess at least two years of clinical experience. An Associate's degree in a related field or equivalent experience is preferred, alongside a coding certification or a relevant professional license such as RN, LPN, LCSW, or PT/OT. **What makes it worth a look...** Centene, a national health insurance provider, offers a fully remote Clinical Investigator I role with a salary range of $56,200 to $101,000 per year, nationwide. **You might be a good fit if you...** * Perform audits of medical records to identify and investigate potential fraud and abuse. * Analyze claims data, medical records, and billing patterns against policies and standards. * Have experience reviewing medical records for fraud investigations or from a specialist physician's office focused on record review. * Are comfortable with coding and relevant state/federal guidelines.