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Kaiser Permanente

Pasadena, California

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Tyler, Texas

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Santa Fe, New Mexico

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Shreveport, Louisiana

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Baylor Scott & White Health

Dallas, Texas

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Santa Fe, New Mexico

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CHRISTUS Health

Santa Fe, New Mexico

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Nicklaus Children’s Health System

Miami, Florida

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Duke University Health System

Durham, North Carolina

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CHRISTUS Health

Alexandria, Louisiana

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AdventHealth

Tarpon Springs, Florida

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Fred Hutchinson Cancer Center

Seattle, Washington

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University of Maryland Medical System

Glen Burnie, Maryland

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Southwestern Medical Center

Lawton, Oklahoma

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ChristianaCare Health System

Newark, Delaware

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CHRISTUS Health

Shreveport, Louisiana

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CHRISTUS Health

Corpus Christi, Texas

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Claims Quality Review Auditor
 JOB SUMMARYThe Claims Quality Review Auditor is responsible for auditing various claims to ensure quality and accuracy to related benefit payments, contract interpretation, and compliance with policies and procedures and regulatory guidelines. Makes recommendations to improve quality, workflow processes, policies and procedures.ESSENTIAL FUNCTIONS OF THE ROLETracks and trends audits in an effort to identify root cause errors to providers; provides feedback.


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