The Public Interest Company

QA Engineer

• Review medical records, claims data, and supporting documentation to identify potential third-party liability (TPL) and recovery opportunities.
• Analyze injury-related claims by connecting accidents, diagnoses, procedures, and treatment timelines.
• Apply ICD-10, CPT, and healthcare coding knowledge to evaluate the accuracy and completeness of claims.
• Identify patterns, discrepancies, and opportunities for recovery through detailed claims and records review.
• Collaborate with operations, product, and engineering teams to improve workflows, review processes, and data quality.
• Document findings clearly and consistently to support downstream recovery efforts.
• Maintain high standards of accuracy while managing multiple cases in a fast-paced, data-driven environment.
• Stay current on coding guidelines, healthcare claims practices, and industry trends to continuously improve review quality.

Claim Association QA Specialist – Part-Time