Medical Quality Assurance Specialist I
QTC Management, Inc.
full-time
Posted on:
Location Type: Remote
Location: Remote • Pennsylvania • 🇺🇸 United States
Visit company websiteSalary
💰 $20 - $29 per hour
Job Level
Mid-LevelSenior
About the role
- Review and audit exam reports sent over from medical providers
- Ensure all medical coding is complete and accurate
- Ensure all tests have been ordered and completed, and present in the medical record
- Coordinate with medical providers as needed for clarification of reports
- Work with our in house appointment schedules to request additional appointments for the veteran as necessary
Requirements
- High School Diploma or equivalent (GED)
- Strong knowledge and understanding of anatomy and medical terminology
- Ability to read and analyze medical reports
- Aptitude to apply clinical reasoning (diagnostic testing)
- Ability to write clear questions to submit to the provider
- Experience working with medical providers (credentialing, medical coding, chart audits, triage, scribe, nursing)
- Understanding of case management software, electronic medical records and medical databases
- Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation
- Allied medical professional certification, or relevant college, or vocational training in the medical field, i.e. LVN, CNA, Military Corpsman/Medic, EMT, MA, etc. (Preferred)
- Direct healthcare experience in medical case management or quality assurance to include the review of complex multi-focal medical reports for quality, clarity, thoroughness and insightful medical explanation (Preferred)
- Experience assisting with medical tests, treatments and procedures (Preferred)
- Knowledge of military medical examinations or experience working with the VA (Preferred)
- Understanding of general disability claims, workers compensation, or audits (Preferred)
Benefits
- Competitive compensation
- Health and Wellness programs
- Income Protection
- Paid Leave
- Retirement
- Employee assistance programs
- Professional development opportunities
- Comprehensive leave
- Holiday pay
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical codinganatomy knowledgemedical terminologyclinical reasoningchart auditscredentialingtriagescribenursingmedical tests
Soft skills
analytical skillscommunication skillsattention to detailorganizational skillsproblem-solving skills
Certifications
Allied medical professional certificationLVNCNAMilitary CorpsmanMedicEMTMA