Medical Coding Specialist

4 weeks ago


Austin, Texas, United States Centene Corporation Full time
Job Summary:

Centene Corporation is seeking a skilled Medical Coding Specialist to join our team. As a key member of our Medical Management/Health Services team, you will play a critical role in ensuring the accuracy and compliance of medical claims.

Key Responsibilities:
  • Analyze and review medical claims, medical records, and provider billing practices to ensure compliance with coding practices and regulations.
  • Utilize code auditing software and provider documentation to identify potential billing errors, abuse, and fraud.
  • Collaborate with Medical Directors to validate decisions and identify opportunities to create medical policy in the absence of guidelines.
  • Assist with research of health plan coding questions and maintain accurate records and files.

Requirements:
  • Associate's degree in a related field or equivalent experience.
  • Coding certification and 2+ years of experience in medical billing & coding, coding/data analysis, accounting/business, or physician/hospital data management.
  • Experience in provider communication and education preferred.

What We Offer:
  • Competitive pay and benefits package.
  • Opportunities for professional growth and development.
  • A diverse and inclusive work environment.

Equal Opportunity Employer:
Centene Corporation is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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