Clinical Quality Assurance Coordinator

🔥 0 minutes ago

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $27 - $31 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔧 QA Engineer (Quality Assurance)

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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ExamWorks

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2008

🏥 Healthcare

💼 Consulting

⚖️ Legal

Healthcare • Consulting • Legal

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

• Perform quality assurance reviews of peer review reports, correspondence, addendums, and supplemental reviews • Ensure clear, concise, evidence-based rationales support recommendations and determinations • Verify client instructions, specifications, questions, clinical citations, and current reputable references are addressed • Ensure report content, format, appearance, and compliance with company standards • Verify appropriate board specialty review and accurate documentation • Verify peer reviewer attestation and absence of conflicts of interest • Ensure provider credentials and signature are included in final reports • Identify inconsistencies and contact peer reviewers for clarification, modification, or correction • Assist with customer complaints and quality assurance issues • Ensure compliance with federal ERISA and state mandates • Provide management insight on consultant quality, availability, and compliance • Promote effective and efficient use of company resources • Participate in required educational and training activities • Perform other duties as assigned

🎯 Requirements

• Active RN or LPN nursing license required • Graduate of an accredited nursing program or related medical experience • Minimum of two years clinical or related field experience, or equivalent combination of education and experience • Bachelor's degree preferred • Strong knowledge of medical terminology, anatomy and physiology, medications, and laboratory values • Ability to compute rates and percentages • Qualified typist with a minimum of 40 W.P.M. • Ability to operate a computer, fax, copier, scanner, and telephone • Knowledge of Microsoft Word, Outlook, Excel, and the Internet • Excellent English usage, grammar, punctuation, and style • Ability to follow instructions accurately • Exceptional communication skills • Ability to work independently, prioritize activities, and use time efficiently • Ability to maintain confidentiality

🏖️ Benefits

• Fully remote work • Medical, vision, and dental benefits • Paid time off • 401k • No travel required