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Vanderbilt Health

Nashville, Tennessee

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AdventHealth

Maitland, Florida

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Harris Health System

Houston, Texas

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WakeMed Health & Hospitals

Raleigh, North Carolina

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Sonic Healthcare USA

Austin, Texas

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Denver Health

Denver, Colorado

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AdventHealth

Altamonte Springs, Florida

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Akron Children's Hospital

Akron, Ohio

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Northeast Georgia Health System

Gainesville, Georgia

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AdventHealth

Tampa, Florida

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AdventHealth

Hendersonville, North Carolina

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WMCHealth

Hawthorne, New York

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Optum

Eden Prairie, Minnesota

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AdventHealth

Altamonte Springs, Florida

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CHRISTUS Health

Irving, Texas

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Sonic Healthcare USA

Austin, Texas

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CHRISTUS Health

Irving, Texas

Alivio Medical Center

Chicago, Illinois

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AdventHealth

Maitland, Florida

US Oncology Network

Brandywine, Maryland

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Northeast Georgia Health System

Gainesville, Georgia

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Georgia Highlands Medical Services, Inc.

Cumming, Georgia

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Las Vegas VA Medical Center

Las Vegas, Nevada

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Claims Auditor
The Claims Auditor performs claims audits based on the audit program and specified target audits as assigned.Responsible for ensuring the accuracy of claims payments with the application of managed care contracts, as well as reimbursement calculation of applicable fee schedules for non-contracted claims.  Identifies underpayments/overpayments and generates periodic reports to quantify amounts detected through the audit process.


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