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Centene Corporation Coding Auditor Trainer in Farmington, Missouri

Position Purpose:

  • Audit high dollar claim processing by coding analysts for accuracy and completeness

  • Prepare and draft audit reports of findings and recommendations for action plans in response to observed deficiencies

  • Research state specific regulations and evaluate internal processes and/or controls to identify non-compliance issues and improvement opportunities

  • Analyze audit results to identify training needs for coding analyst staff

  • Train new coding analysts and existing coding analysts on new functions and health plans

  • Evaluate audit results and develop training to improve the accuracy of high dollar claim processing

  • Develop and revise department policies and procedures in accordance with all Federal and State regulationsAudit medical record coding to ensure high dollar claims are processed appropriately and to identify training needs. Ensure department policies and procedures support uniform processing.

Education/Experience:

Associate’s degree in Audit, Accounting, or related field or equivalent experience. 2+ years of medical billing, coding, or claims processing experience. Knowledge of billing practices for hospitals, physicians and/or ancillary providers as well as knowledge about contracting and claims processing. Previous managed care, state and/or federal health care programs (i.e., Medicaid, Medicare) or health insurance industry experience. 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. TITLE: Coding Auditor Trainer LOCATION: Farmington, Missouri REQNUMBER: 1212261 COMPANY: Administrative & Operations support POSITION TYPE: Both

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