[Hiring] Quality Assurance Coordinator @IME RESOURCES LLC

Role Description

Are you looking to break free from the traditional medical office setting? If you're craving a fresh career path, this opportunity is tailor-made for you!

ExamWorks is hiring a Quality Assurance Coordinator to join our remote team. In this role, you’ll be the final checkpoint for medical reports - ensuring accuracy in grammar, medical terminology, and content. Your keen eye for detail will help uphold the highest standards of quality and care.

Why This Role Rocks:

• 100% Remote - Enjoy the flexibility of working from home!
• Impactful Work - You’ll play a key role in ensuring the quality and compliance of critical reports.
• Schedule - Monday through Friday; 7:00am-3:30pm CT (training schedule 8:00am-4:30pm CT); occasional weekends

Responsibilities may include:

• Perform quality assurance review of reports, correspondences, addendums or supplemental reviews.
• Ensure clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
• Ensure that all client instructions and specifications have been followed and that all questions have been addressed.
• Ensure each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.
• Ensure the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
• Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.
• Verify that the peer reviewer has attested to only the facts and that no evidence of reviewer conflict of interest exists.
• Ensure the provider credentials and signature are adhered to the final report.
• Identify any inconsistencies within the report and contact the Provider to obtain clarification, modification or correction as needed.
• Assist in resolution of customer complaints and quality assurance issues as needed.
• Ensure all federal ERISA and/or state mandates are adhered to at all times.
• Provide insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
• Promote effective and efficient utilization of company resources.
• Participate in various educational and or training activities as required.
• Perform other duties as assigned.

Qualifications

• Medical Assistants, Certified Nursing Assistants and Medical Scribes encouraged to apply!
• Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
• Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.
• Must be a qualified typist with a minimum of 40 W.P.M preferred.
• Must be able to operate a general computer, fax, copier, scanner, and telephone.
• Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
• Must possess excellent skills in English usage, grammar, punctuation and style.
• Ability to follow instructions and respond to upper managements’ directions accurately.
• Must demonstrate accuracy and thoroughness. Look for ways to improve and promote quality and monitors own work to ensure quality is met.
• Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
• Must be able to work independently, prioritize work activities and use time efficiently.
• Must be able to maintain confidentiality.
• Must be able to demonstrate and promote a positive team-oriented environment.

Benefits

• Competitive benefits (medical, vision, dental)
• Paid time off
• 401k