Coding Analyst I
Sorry, this job was removed at 12:16 p.m. (CST) on Monday, March 28, 2022
By clicking Apply Now you agree to share your profile information with the hiring company.
Position Purpose: Review high dollar claims for appropriate place of service, length of stay, match to authorization, and possible outlier DRG or Stop Loss pricing. Conduct complex business and operational analyses to assure payments are in compliance with contract; identify areas for improvement and clarification for better operational efficiency.
Qualifications:
Education/Experience: : High school diploma or equivalent and 3+ years of claims processing, medical billing, administrative, customer service, call center, physician's office or other office services experience. Previous managed care, State and/or Federal health care programs (i.e., Medicaid, Medicare) or health insurance industry experience. Knowledge of billing practices for hospitals, physicians and/or ancillary providers as well as knowledge about contracting and claims processing.
Licenses/Certifications: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CSS), Professional Coder-Payer (CPC-P) certification, Certified Professional Coder (CPC) or related certifications preferred.
Centene 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.
More Information on Centene Corporation
Centene Corporation operates in the Healthtech industry. The company is located in Saint Louis, MO, Smyrna, GA, Columbus, GA and Sunrise, FL. Centene Corporation was founded in 1984. It has 19002 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Disability insurance, Dental insurance, Vision insurance, Health insurance and Life insurance. To see all 20 open jobs at Centene Corporation, click here.
Read Full Job Description