Clinical Quality Assurance Coordinator

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ExamWorks

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

• Conduct thorough reviews of peer review reports and related documentation. • Ensure accuracy, compliance, and adherence to regulatory and client standards. • Provide insight and direction to management on consultant quality and compliance. • Identify inconsistencies within reports and contact Peer Reviewer for clarification.

🎯 Requirements

• High school diploma or equivalent required. • Minimum of two (2) years of clinical or related experience preferred. • Knowledge of the insurance industry, including claims management (workers’ compensation, no-fault, liability, or disability), preferred. • Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values. • Must have a full understanding of HIPAA regulations and compliance. • Must be a qualified typist with a minimum of 40 W.P.M.

🏖️ Benefits

• Health insurance • 401(k) • Paid time off • Professional development opportunities

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