Centene Management Company LLC is seeking a remote credentialed reviewer to conduct comprehensive medical record audits across providers, suppliers, and pharmacies. You will verify services against claims, ensure coding accuracy and medical necessity, and support the Special Investigations Unit with findings and recommendations.
The role requires a Master’s Degree with 2+ years of clinical experience and an active behavioral health license; auditing and coding background is preferred.
#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.