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Centene
Medical Coding Reviewer
Remote · United States · Full time · Mid level
About the role
Perform clinical and coding medical claim reviews to ensure compliance with coding practices and regulations. Analyze medical records and billing to identify errors, abuse, and opportunities for policy creation.
What you’ll do
• Analyze provider billing using code auditing software. • Review medical records for billing consistency. • Validate decisions with Medical Director. • Research health plan coding questions. • Identify potential billing errors and fraud.
What you’ll bring
• Associate’s degree or equivalent experience. • Coding certification and 2+ years medical billing experience. • Experience in provider communication preferred. • LPN, RN, CPC, CCS, RHIT, or related certification. • Authorized to work in the U.S. without visa sponsorship.
Life at Centene
Comprehensive benefits including competitive pay, health insurance, 401K, tuition reimbursement, paid time off, and flexible work schedules. Inclusive and diverse workplace.
About Centene
Centene connects people to healthcare to improve lives through accessible and effective services.