ExamWorks

• Handle and respond promptly to inquiries from clients and/or anyone acting on behalf of the client regarding questions, report status, concerns, or general requests for information • Utilize appropriate systems and databases to enter client or claimant information and or retrieve information • Maintain daily contact with the QA department regarding workflow and pending report status • Contact providers for assignment and update database • File and archive open and closed cases • Verify all client information is current in the database and all client specific guidelines and or rules or information is documented in the system • Work independently and in partnership with other team members to ensure that questions are addressed, documented and cases are returned in a timely fashion • Direct calls to other departments as needed • Perform various clerical duties such as typing, filing, emailing, and proofreading • Assist in resolution of customer complaints and quality assurance issue • Notify management of any report issues or concerns • Ensure all practices are carried out in accordance with state and federal safety and legal regulations • Perform other duties as assigned

• The Planner works autonomously to develop Medicare Set-Aside Allocations and other reports as needed within their scope of licensing and/or certifications. • Collects, reviews and analyzes health data from medical records and/or other sources as provided. • Identify future medical needs utilizing medical standards of care and guidelines, in addition to historical trend of care. • Work autonomously and collaborates with all company personnel as needed; including communicating with the accounts and attorneys as needed. • Maintain a quality work product evidenced by acceptable quality scores/score cards. • Participate in company orientation, management meetings and/or conference calls as required to improve self-knowledge and/or for the improvement of the company. • Attend all scheduled conference calls as mandated by management. • Maintain any required credentials and adhere to all codes of ethics required by these credentials. • Ensures all federal Centers for Medicare and Medicaid Services (CMS) requirements and/or state mandates are adhered to at all times. • Provides insight and direction to management on report quality and compliance with all company policies and procedures, client specifications, URAC and CMS guidelines. • Promote effective and efficient utilization of company resources. • Participate in various educational and or training activities as required. • Perform professional duties as assigned by the Manager or upper management.

• Evaluate clinical information received, write and/or review various reports including, but not limited to: Medical Record Reviews, Medical Record Chronologies, Provider Bill Reviews, Coding Reviews, Hospital Bill Reviews, List of Missing Records, Medical Bill Apportionments, Mock Billing Invoice and Medical Summary Statements. • Perform quality assurance reviews of peer review reports, correspondences, addendums or supplemental reviews to ensure they meet company standards for content, clarity, evidence-based rationale, formatting, and professional presentation. • Ensure all client instructions and specifications have been followed, all questions have been answered, and all recommendations or determinations are supported by clear, concise, and evidence-based rationales. • Verify that each review includes appropriate clinical citations when applicable, and ensure all references cited are current and obtained from reputable medical journals and publications. • Identify inconsistencies within reports and contact the reviewer to obtain clarifications, modifications, or corrections needed. • Assist in the resolution of customer complaints and quality assurance issues as appropriate. • Ensure all federal ERISA and applicable state mandates are adhered to. • Provide ongoing feedback and recommendations to management regarding consultant performance, quality trends, and compliance with internal and client specific requirements. • Participate in the development and implementation of policies and procedures to improve efficiency and quality across operations. • Develop and lead formal and informal training sessions -individually or in groups -that promote high-quality utilization review practices and reinforce company standards. • Develop and document new or improved operational processes to support continuous improvement. • Promote effective and efficient utilization of company resources across all responsibilities. • Participate in or lead various continuing education and training activities related to clinical knowledge, industry standards, and company processes. • Perform other duties as assigned.

• Prepare, print, sort, scan, process and maintain electronic and/or hard copies of charts, medical report forms or company documents • Will gather and organize examinee charts for examinations and/or deposition purposes • Finalize completed charts by confirming all records are included and consolidate charts in proper order • Prepare and ship records to physicians utilizing appropriate mailing sources within required timeframes • Perform clerical duties such as typing, filing, emailing, and proofreading as required

Role Description ExamWorks is looking for a Medical Records Clerk to join our team! The Medical Records Clerk (internally called a Document Management Technician) is responsible for gathering, printing, preparing, and scanning company documents or examinee charts for use. This position performs a variety of tasks such as: - Preparing, printing, sorting, scanning, processing, and maintaining electronic and/or hard copies of charts, medical report forms, or company documents. - Gathering and organizing examinee charts for examinations and/or deposition purposes. - Finalizing completed charts by confirming all records are included and consolidating charts in proper order. - Ensuring no duplicates or unnecessary documents are stored. - Preparing and shipping records to physicians utilizing appropriate mailing sources (USPS, UPS, or Electronic) within required timeframes and in accordance with client instructions. - Performing clerical duties such as typing, filing, emailing, and proofreading as required. - Promoting effective and efficient utilization of all company supplies and resources. - Protecting examinee rights by maintaining confidentiality of personal and financial information at all times and in accordance with HIPAA regulations. - Performing other duties as assigned. Qualifications - High school diploma or equivalent required. - A minimum of one year related experience; or equivalent combination of training and experience. - Experience in a medical office preferred. Requirements - Must possess knowledge of 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 have a full understanding of HIPAA regulations and compliance. - Ability to follow instructions and respond to management’s directions accurately. - Must demonstrate accuracy and thoroughness, looking for ways to improve and promote quality. - Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively, and asking questions for clarification. - 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. - Must be able to stay focused and concentrate under normal or heavy distractions. - Must be able to work well under pressure and/or stressful conditions. Benefits - Competitive benefits (medical, vision, dental). - Paid time off. - 401k.

Role Description Exam Works is looking for a Medical Coding Specialist to join our team remotely! - Must possess current coding certification in CPC. CPMA certification & Certified Life Care Planner certification preferred. - The Medical Coding Specialist (Internally called a Coding Specialist) is responsible for creating and writing reports based on medical records and appropriate guideline criteria. - This position utilizes the system database to determine usual and customary and/or state fee schedule allowances. - Responsible for analyzing provider billing for proper coding and billing guidelines across all provider types. - Ensures reviews are completed with the highest quality and integrity and that all work is in full compliance with client contractual agreements, regulatory agency standards, and/or federal and state mandates. - Schedule for this role is: Monday - Friday 8am-5pm EST. Qualifications - High school diploma or equivalent required. - Minimum one year medical billing experience; or equivalent combination of education and experience required. - Must possess current coding certification in OASIS, RAC-CT, CCS, CPC, RHIT or RHIA. CPMA certification preferred. - Must have a full understanding of aspects of medical billing. - Must demonstrate understanding of the various types of medical billings and ability to identify which system database should be used. - Must be able to cross-reference different types of billings to ensure consistency in the review process. - Must possess knowledge of standard fee schedule review, UC&R review, drug and supply charges, rarity, utilization review, CPT guidelines, ICD 10, bundling/unbundling, duplicate billing, and CMS reimbursement guidelines. - Must possess complete knowledge of 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 have a full understanding of HIPAA regulations and compliance. - Must be a qualified typist with a minimum of 35 W.P.M. - Ability to follow instructions and respond to management’s directions accurately. - Ability 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. - Must be able to stay focused and concentrate under normal or heavy distractions. - Must be able to work well under pressure and/or stressful conditions. - Must possess the ability to manage change, delays, or unexpected events appropriately. - Ability to follow all company policies and procedures in effect at the time of hire and as they may change or be added from time to time. Benefits - Fast-paced team atmosphere. - Competitive benefits (medical, vision, dental). - Paid time off. - 401k. Company Description ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management, and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators, and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability, and workers' compensation insurance coverages. ExamWorks, LLC is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws. Equal Opportunity Employer - Minorities/Females/Disabled/Veterans

• Handle and respond promptly to inquiries from clients and/or anyone acting on behalf of the client regarding questions, report status, concerns, or general requests for information. • Utilize appropriate systems and databases to enter client or claimant information and or retrieve information. • Maintain daily contact with the QA department regarding workflow and pending report status. • Contact providers for assignment and update database. • File and archive open and closed cases. • Verify all client information is current in the database and all client specific guidelines and or rules or information is documented in the system. • Work independently and in partnership with other team members to ensure that questions are addressed, documented and cases are returned in a timely fashion. • Direct calls to other departments as needed. • Perform various clerical duties such as typing, filing, emailing, and proofreading. • Assist in resolution of customer complaints and quality assurance issue. • Notify management of any report issues or concerns. • Ensure all practices are carried out in accordance with state and federal safety and legal regulations. • Perform other duties as assigned.

• Conduct thorough reviews of peer review reports and related documentation. • Ensure accuracy, compliance, and adherence to regulatory and client standards. • Provide insight and direction to management on consultant quality and compliance. • Identify inconsistencies within reports and contact Peer Reviewer for clarification.

• Ensure reports are of the highest quality and integrity • Assist with quality assurance questions • Perform quality assurance review of reports and correspondences • Verify board specialty reviews compliance • Resolution of customer complaints and quality assurance issues

• Handle and respond promptly to inquiries from clients and/or anyone acting on behalf of the client regarding questions, report status, concerns, or general requests for information. • Utilize appropriate systems and databases to enter client or claimant information and or retrieve information. • Maintain daily contact with the QA department regarding workflow and pending report status. • Contact providers for assignment and update database. • File and archive open and closed cases. • Verify all client information is current in the database and all client specific guidelines and or rules or information is documented in the system. • Work independently and in partnership with other team members to ensure that questions are addressed, documented and cases are returned in a timely fashion. • Direct calls to other departments as needed. • Perform various clerical duties such as typing, filing, emailing, and proofreading. • Assist in resolution of customer complaints and quality assurance issue. • Notify management of any report issues or concerns. • Ensure all practices are carried out in accordance with state and federal safety and legal regulations. • Perform other duties as assigned.