Clinical Quality Assurance Coordinator

🔥 7 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $26 - $28 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔧 QA Engineer (Quality Assurance)

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ExamWorks

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2008

⚕️ Healthcare Insurance

📋 Compliance

💸 Finance

Healthcare Insurance • Compliance • Finance

ExamWorks is a leading provider of independent medical examinations and peer reviews, specializing in services such as bill reviews, Medicare compliance, and document management. With a robust portfolio that includes agile development and enterprise platform solutions, ExamWorks ensures efficient workflow enhancements and compliance auditing across healthcare sectors. The company supports a network of physicians and offers customized services for the management of medical records and claims, prioritizing reliability for clients in various communities.

📋 Description

• Review medical records and identify key details • Turn details into clear, well-written summaries • Perform quality assurance review of peer review reports • Ensure clear, concise, evidence-based rationales for recommendations • Verify compliance with client specifications and state mandates • Identify inconsistencies within reports and obtain clarification • Assist in resolution of client complaints and quality assurance issues • Ensure adherence to federal ERISA and state mandates • Provide insight and direction to management on consultant quality

🎯 Requirements

• Nursing license • Professional writing experience preferred • Strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values • Mathematical ability (add, subtract, multiply, divide) • Qualified typist with a minimum of 40 W.P.M preferred • Proficient in Microsoft Word, Outlook, Excel, and the Internet • Excellent skills in English usage, grammar, punctuation and style • Ability to follow instructions and respond to upper management’s directions accurately • Strong accuracy and thoroughness • Ability to work independently and prioritize work activities • Maintain confidentiality • Positive team-oriented environment

🏖️ Benefits

• 100% remote – Work from the comfort of home • Flexible schedule – Training hours are Monday–Friday, 7:30 AM–4:00 PM CT, with flexibility once you’re up to speed (within standard business hours) • Strong benefits • Supportive team • Real opportunities to grow your career • Competitive benefits (medical, vision, dental) • Paid time off • 401k