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Colorado Springs Cardiology

Colorado Springs, Colorado

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Penn Medicine Lancaster General Health

Lancaster, Pennsylvania

Catholic Health

Rockville Centre, New York

Johns Hopkins

baltimore, Maryland

Cardiovascular Consultants Heart Center

Fresno, California

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FirstHealth of the Carolinas

Pinehurst, North Carolina

University Hospitals Harrington Heart & Vascular Institute

Cleveland, Ohio

Montgomery Cardiovascular Associates

Montgomery, Alabama

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PIH Health

Los Angeles, California

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Geisinger

Danville, Pennsylvania

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Northeast Georgia Health System

Braselton, Georgia

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BJC HealthCare

Saint Louis, Missouri

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Baylor Scott & White Health

Fort Worth, Texas

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Veterans Affairs, Veterans Health Administration

West Haven, Connecticut

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BJC HealthCare

Saint Louis, Missouri

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Pediatrix Medical Group

Denver, CO, USA

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Northeast Georgia Health System

Gainesville, Georgia

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Baylor Scott & White Health

Waco, Texas

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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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