Centene Corporation is seeking a remote Lead for Coding & Clinical Review to supervise daily activities, ensuring timely DRG audit outcomes and quality assurance across the team. You will guide coding determinations, review escalated cases, and support process improvements in a nationally distributed Payment Integrity environment.
The role requires 6+ years of MS-DRG/APR-DRG coding experience, 3+ years DRG reviews, and 3+ years encoder/grouper experience with tools such as TruCode/TruBridge, 3M,
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