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Centene Medical Coding Review Jobs (NOW HIRING)

Ellis Medicine

Supervisor Medical Coding

Schenectady, NY · On-site

$25.72 - $38.57/hr

The Supervisor, Medical Coding - Outpatient is responsible for the oversight and development of the ... Reviews assessment of account performance, and responds to concerns in a timely and professional ...

Community Clinic

Medical Coding Manager

Manhattan, NY · Remote

$70K - $75K/yr

Review and analyze clinical documentation and medical records in eClinicalWorks (eCW) to ensure accurate and appropriate assignment of ICD-10-CM, CPT, and HCPCS codes. Verify that coding meets ...

CES, LLC

Medical Coding Auditor

Saint Augustine, FL · Remote

Maintain inter-reviewer reliability through internal QA and standardized audit methodology Required qualifications/skills: * Must have a minimum of 3-5 years medical coding experience; 2+ years in ...

HealthCare Partners

Medical Coding Analyst

Garden City, NY · On-site

$65K - $75K/yr

Review and interpret medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10 CM and CPT 4 codes accurately and timely to the highest level of specificity based ...

Humana, Inc.

Inpatient Medical Coding Auditor

Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics ...

U.S. Career Institute

Review and manage courses and exams, including grading and using innovative ways to provide content ... Medical Coding field. * ICD-10-CM, ICD-10-PCS, CPT and HCPCS knowledge and experience.

Medix

Medical Coder

Renton, WA · On-site

$24.16 - $29.84/hr

Public - Responsibilities Medical Coding Review: Perform comprehensive reviews of patient records to ensure accurate CPT and ICD-10 coding in compliance with standard medical documentation and ...

Biodata Partners, Inc.

Senior Medical Coder

Raleigh, NC · On-site +1

$16 - $21.50/hr

Create, review, and maintain guidance and training documentation for coding guidelines an ... Responsible for medical coding review, synonym dictionaries review, therapeutically aligned coding ...

Claritev

Medical Coding Specialist

Manhattan, NY

$60K - $63K/yr

Medical Coding Specialist At Claritev, we pride ourselves on being a dynamic team of innovative ... Review and analyze inpatient, outpatient, and provider billing for medical appropriateness of ...

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Centene Medical Coding Review information

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How much do centene medical coding review jobs pay per hour?

As of Jun 7, 2026, the average hourly pay for centene medical coding review in the United States is $28.13, according to ZipRecruiter salary data. Most workers in this role earn between $23.08 and $32.69 per hour, depending on experience, location, and employer.

What is Centene Medical Coding Review?

Centene Medical Coding Review refers to the process of evaluating and verifying the accuracy, completeness, and compliance of medical codes applied to healthcare claims processed by Centene Corporation. This review ensures that the medical codes are consistent with provided clinical documentation and adhere to regulations and payer guidelines. Coders and auditors in this role help prevent billing errors, reduce fraud, and ensure proper reimbursement for healthcare services. The process is essential for maintaining high standards in healthcare administration and supporting Centene’s mission to provide accessible care.

What is the difference between Centene Medical Coding Review vs Centene Medical Coding Specialist?

AspectCentene Medical Coding ReviewCentene Medical Coding Specialist
CertificationsCPMA, CPC, or CCSCPMA, CPC, or CCS
Primary RoleReview and audit coded claims for accuracyAssign and process medical codes for claims
Work EnvironmentRemote or office-based, healthcare insurance settingRemote or office-based, healthcare insurance setting
Industry UsageCommonly used in insurance companies like CenteneUsed in healthcare providers and insurance companies

While both roles require similar certifications and work in healthcare insurance environments, the Centene Medical Coding Review focuses on auditing and ensuring coding accuracy, whereas the Centene Medical Coding Specialist is responsible for assigning the initial codes. Understanding these differences helps clarify career paths and job expectations within the industry.

What are the key skills and qualifications needed to thrive as a Centene Medical Coding Review Specialist, and why are they important?

To thrive as a Centene Medical Coding Review Specialist, you need a solid understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and typically a certification like CPC or CCS. Proficiency with electronic health record (EHR) systems, coding software, and claims management platforms is essential. Attention to detail, analytical thinking, and effective communication are crucial soft skills for interpreting complex records and collaborating across teams. These skills ensure accurate coding, regulatory compliance, and efficient claims processing, directly impacting reimbursement and patient care quality.

What are some typical challenges faced by medical coding reviewers at Centene, and how can they be addressed?

Medical coding reviewers at Centene often encounter challenges such as staying current with frequent updates to coding standards, ensuring accuracy under tight deadlines, and interpreting complex medical records. These challenges can be managed by participating in ongoing training, utilizing Centene’s internal resources and support teams, and maintaining open communication with healthcare providers for clarification. Developing strong organizational skills and attention to detail is also key to ensuring accurate and compliant coding.
Infographic showing various Centene Medical Coding Review job openings in the United States as of May 2026, with employment types broken down into 88% Full Time, 6% Part Time, and 6% Contract. Highlights an 69% In-person, and 31% Remote job distribution, with an average salary of $58,510 per year, or $28.1 per hour.
Supervisor Medical Coding

Supervisor Medical Coding

Ellis Medicine

Schenectady, NY • On-site

$25.72 - $38.57/hr

Full-time

Posted 11 days ago

Ellis Medicine rating

5.5

Company rating: 5.5 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

Job description

THIS POSITION CAN BE ON SITE OR REMOTE!!
The Supervisor, Medical Coding - Outpatient is responsible for the oversight and development of the office coding department. This includes mentorship and direct management of the outpatient medical coding team. The Supervisor of Medical Coding understands the organization's core information technology and information management competencies to bring value to business processes and quality improvement initiatives. The Supervisor interacts with internal and external customers to ensure continuous improvement efforts are being achieved and new coding practices are being implemented. This will require periodic audits of documentation and productivity reports of staff. The Supervisor is responsible for the planning, organizing, and final execution of all processes necessary to provide timely, accurate, and complete posting and billing of patient demographic and clinical coding data as well as managing and tracking results.
SECTION II:
EDUCATION AND EXPERIENCE REQUIREMENTS:
  • Bachelors Degree or equivalent combination of education and experience.
  • Certified Professional Coder (CPC)
  • Knowledge of Anatomy and Physiology, Medical Terminology and current coding standards. Skilled experience and knowledge of Windows based software required, including but not limited to Microsoft Windows, Excel and Word. Experience with Soarian systems and/or Allscripts/Cerner electronic health record preferred
  • Minimum of five years out patient coding experience required. Hospital, physician practice or insurance coding and billing experience required. Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payer regulations.
  • Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payer regulations.

SECTION III;
MAKING ELLIS EXCEPTIONAL (MEE) BEHAVIORS & STANDARDS
SECTION IV:
RESPONSIBILITIES OF THE POSITION:
  • Plans, develops, implements and communicates operational initiatives to improve the efficiency of the Medical Coding Department
  • Oversees the planning, organization, and evaluation elements of the Patient Demographic capture and system set up
  • Designs quality management monitors and workload measurement systems for productivity monitoring to ensure the efficient workflow process
  • Reviews assessment of account performance, and responds to concerns in a timely and professional manner
  • Collaborates with IT to incorporate new technologies and functionality into the existing structure
  • Evaluates, designs and implements solutions for accessing, moving, and processing electronic data
  • Serve as a liaison with medical coding team and primary care offices to resolve issues in a satisfactory manner
  • Carries out responsibilities in accordance with company policies and procedures, applicable regulations, including HIPAA and Labor regulations.
  • Responsible for oversight of all medical coding functions utilizing both the clinical and financial systems
  • Responsible for coding audits for practice providers to optimize accurate documentation and coding
  • Oversight of medical coding team relating to Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing, establish and maintain a close working relationship with the PBO dept. to reduce and address claim issues and denials timely
  • Conducts training and supports professional development opportunities of staff to stay abreast to new coding and clinical guidelines
  • Knowledge of the practice's charges and coding, in cooperation with the Charge Description Master (CDM) Manager and Health Information Services (HIS) Department
  • Responsible for participation in on-going education relevant to practice specialty, assists in training for new employees and coverage
  • Works closely with the Practice Leader and the RCA Supervisor to ensure that all updates and changes are implemented timely
  • Maintains a high level of confidentiality to protect patient health information privacy, while providing access to authorized individuals and entities, and safeguards the integrity of electronic records
  • Will participate in standing cross-functional workgroups to facilitate resolution of systems issues and operational issues within Ellis Medical Group and across the enterprise (Ellis Medicine).
  • Adheres to hospital and procedures related to mandatory education and annual health assessments, MEE Behavior and Standards, AIDET
  • Works collaboratively with departments to resolve issues and overcome barriers

Ellis Medicine is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, and will prohibit, discrimination on the basis of race, creed, color, religion, sex/gender (including pregnancy), age, national origin, disability (including pregnancy-related conditions), genetic information, predisposition or carrier status, military or veteran status, prior arrest or conviction record, marital or familial status, sexual orientation, transgender status, gender identity, gender expression, reproductive health decisions, domestic violence victim status, known relationship or association with any member of a protected class, and any other characteristic protected by applicable law violates federal, state and, where applicable, local laws , reproductive health decisions or source of payment, consistent with applicable legislation and to comply with the laws pertaining thereto.
Salary Range: $ 25.72-$38.57 /hour Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

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