Centene Corporation is seeking a qualified professional for a remote Investigative Auditor role focused on reviews of medical records to support claims and detect fraud, waste, and abuse in the healthcare system. Requires a behavioral health license and experience in utilization management, auditing, and coding.
The role emphasizes verification of medical necessity, coding accuracy, and alignment with CMS and state guidelines, with collaborative work across SIU and providers.
#J-18808-LjbffrRemote Behavioral Health Investigator & Coding Auditor in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.