RN Clinical Auditor - Behavioral Health

Certified Medical Coder/Medical Record Audit Specialist - Behavioral HealthLocation: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)Job Summary:We are seeking a Certified Medical Coder/Medical Record Audit Specialist with strong Behavioral Health coding experience to support a state Medicaid program engagement. This role focuses on auditing medical records and claims documentation for coding accuracy and compliance, identifying billing and documentation issue

Clinical Analyst Investigate and resolve provider inquiries, including dismissals (e.g., incorrect CPT codes, ineligible beneficiary) and no-response cases.Prepare dashboards, audit summaries, SOP updates, and RCA documentation.Identify gaps, errors, and improvement opportunities across billing, coding, pends, denials, and utilization review.Collaborate with operations, coding, QA, and client teams to ensure accurate and timely case resolution.Ensure availability during business hours: 8:00 A

Role: Clinical Applications Trainer (Behavioral Healthcare & WellSky EHR ) Location: Nashville, TN (Remote but Travel required and Looking near to TN) We are seeking a Clinical Applications Trainer & Support Specialist to support behavioral healthcare organizations undergoing technology transformation, optimization, and adoption initiatives. This role combines clinical expertise, application training, and end-user support to ensure successful adoption of electronic health records (EHRs) and re

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Registered Nurse - Must be Licensed in CA Pacific Time Zone Work Hours Position Purpose: The Clinical Data and Audit Consultant is responsible for the clinical content component of all data collection, account impleme