Clinical Investigator I (Special Investigation Unit)

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

**Remote nationwide position**

**Ideal candidate is an RN or LPN with coding experience**

**Preferred experience in an insurance company, SIU, or fraud department**

**Strong fit: experience reviewing medical records for fraud investigations**

**Physician office experience preferred, especially in a specialist practice**

**Background in record review and documentation quality is highly valued**

**Documentation Improvement Specialist experience is also a strong match**

**Position Purpose:**
Audit medical records to identify inappropriate billing practices and recommend next steps through extensive review of claims data, medical re...