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Prairie Cardiovascular Consultants
Springfield, Illinois
Hartford Healthcare
Norwalk, Connecticut
University of Maryland School of Medicine
Baltimore, Maryland
Presbyterian Healthcare Services
Albuquerque, New Mexico
UMass Memorial Health-UMass Memorial Medical Center
Worcester, Massachusetts
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University Hospitals Rainbow Babies & Children's Hospital
Cleveland, Ohio
Atrium Health Levine Children's Hospital
Charlotte, North Carolina
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University Hospitals Rainbow Babies & Children's Hospital
Cleveland, Ohio
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AdventHealth West Florida Division
Sebring, Florida
AdventHealth Medical Group West Florida
Davenport, Florida
Owensboro Health Medical Group
Owensboro, Kentucky
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AdventHealth
Zephyrhills, Florida
Heart Group - Fresno
FRESNO, California
Ballad Health
Kingsport, Tennessee
McFarland Clinic
Ames, Iowa
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Vanderbilt Health
Nashville, Tennessee
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Mgr Special Investigation Unit
JOB SUMMARY: The Manager, SIU manages a team to detect, investigate, remediate and refer to state regulatory agencies and/or law enforcement as appropriate, incidents of fraud, waste and abuse (FWA) arising in connection with medical, behavioral, dental, transportation, pharmacy, and other healthcare services. This position determines correct coding, review claims, review medical records, and billing data from all types of healthcare providers for aberrant billing patterns and is responsible for managing case assignments, case development, case review, overpayment recoveries, managing RFIs, state agency and/or law enforcement referrals, training of staff, and coordination with other departments to mit
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