Quality Practice Advisor at Centene
This role is ideal for medical coding or clinical professionals with at least three years of experience in HEDIS record collection and risk adjustment. You shou
Work type: remote
Location: Remote-DE
Salary: $27 – $49/hr
Type: Full-time
This role is ideal for medical coding or clinical professionals with at least three years of experience in HEDIS record collection and risk adjustment. You should have a strong grasp of NCQA requirements and feel comfortable acting as a consultant for physician practices. A Bachelor’s degree and a specific professional certification (such as RN, LPN, CPC, or CCS) are mandatory requirements.
While listed as remote, this is a field-based position requiring high mobility, with travel up to 75% of the time to provider offices. It offers a competitive hourly pay scale and a comprehensive benefits package, including a 401k and stock purchase plan. You'll serve as a vital bridge between the health plan and large physician groups, focusing on data accuracy and closing care gaps.
**You might be a good fit if you...**
* Are a resident of Delaware with a valid clinical or coding license (RN, LPN, CPC, etc.).
* Enjoy traveling locally and building face-to-face relationships with provider practices.
* Have deep expertise in ICD-10/CPT coding and HEDIS documentation standards.
* Can translate complex performance data into actionable coaching for medical staff.
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