Clinical Investigator: Medical Records & Fraud Analytics
Centene Corporation
Centene Corporation is seeking a claims and fraud investigator to support the Special Investigations Unit in Maryland. The role reviews medical records, verifies authorization, and ensures coding accuracy across providers, suppliers, and pharmacies. The position collaborates with Medical Directors, prepares findings, and presents recommendations while adhering to CMS and state guidelines. Licensure in behavioral health is required, CPC certification preferred but not required. #J-18808-Ljbffr Centene Corporation
Vacancy posted 2 days ago
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