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IME RESOURCES LLC logo
IME RESOURCES LLC

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. Clients include property and casualty insurance carriers, law firms, third-party claim administrators, and government agencies. Services confirm the veracity of claims by sick or injured individuals under automotive, disability, liability, and workers' compensation insurance coverages.

Quality Assurance Coordinator

Location

United States

Posted

29 days ago

Salary

$19 - $21 / hour

Seniority

Mid Level

Job Description

Quality Assurance Coordinator

IME RESOURCES LLC

Role Description Are you a Medical Assistant looking to break free from the traditional 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. This position is 100% remote with your choice of: - 3 - 12 hour shifts, Friday-Sunday 7:00am-7:30pm CST - 4 - 10 hour shifts, Wednesday-Saturday 9:30am-7:00pm CST 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. If you're ready to bring your clinical expertise into a remote setting and make a meaningful impact behind the scenes, we want to hear from you! Qualifications - 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 management’s directions accurately. - Must demonstrate accuracy and thoroughness. Look for ways to improve and promote quality and monitor 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

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