Independent Medical Examination (IME) Quality Assurance Specialist

PATEL KAO PAIN AND REHAB ASSOCIATES LLC; Village of Garden City (NY); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player seeks an IME Quality Assurance Specialist to ensure the accuracy and compliance of medical examination reports. This full-time remote position plays a vital role in maintaining the integrity of reports used in workers' compensation and liability claims. The ideal candidate will have a strong understanding of medical terminology and excellent analytical skills, with the ability to manage multiple tasks effectively. Join a dynamic team dedicated to quality improvement in healthcare documentation, where your contributions will directly impact the quality of patient care and compliance in the medical field.

Qualifications

• 2+ years in IME, medical QA, or claims management.
• Strong understanding of medical terminology and documentation.

Responsibilities

• Review IME reports for quality and compliance.
• Collaborate with medical staff to resolve discrepancies.
• Track quality metrics and assist in developing QA policies.

Skills

Analytical Skills

Attention to Detail

Medical Terminology

Report Writing

Task Management

Job description

Independent Medical Examination (IME) Quality Assurance Specialist

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PATEL KAO PAIN AND REHAB ASSOCIATES LLC is a medical practice company.

Position Summary:

The IME Quality Assurance Specialist is responsible for reviewing independent medical examination reports to ensure accuracy, completeness, and compliance with internal standards and regulatory guidelines. This role plays a critical part in maintaining the integrity and credibility of IME reports used in workers' compensation, disability, and liability claims. This is a full-time remote position.

Key Responsibilities:

1. Review IME reports for quality, clarity, consistency, and adherence to contractual and regulatory requirements.
2. Ensure that medical opinions are well-supported, evidence-based, and clearly stated.
3. Identify and correct formatting, grammatical, and structural issues in medical reports.
4. Collaborate with physicians, medical directors, and administrative staff to clarify or resolve discrepancies.
5. Maintain up-to-date knowledge of industry standards, medical terminology, and relevant legal requirements.
6. Provide feedback and coaching to medical providers and transcription staff to support ongoing quality improvement.
7. Track and report quality metrics, audit results, and trends.
8. Assist in developing and updating QA policies, procedures, and training materials.

Required Qualifications:

1. 2+ years of experience in IME, medical QA, claims management, or related healthcare field.
2. Strong understanding of medical terminology, report writing, and healthcare documentation.
3. Excellent attention to detail, analytical skills, and ability to assess medical content.
4. Ability to manage multiple tasks and meet tight deadlines.
5. Experience working with worker's compensation, disability claims, or legal medical reviews.

Seniority Level: Entry level

Employment Type: Full-time

Job Function: Health Care Provider

Industries: Medical Practices