Medical Quality Assurance Specialist I

QTC Management; Philadelphia (Philadelphia County); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking candidates for a role involving auditing exam reports, ensuring medical coding accuracy, and coordinating with medical providers. This position offers competitive compensation, remote work options for East Coast candidates, and a supportive work environment focused on mentorship. Candidates should have a high school diploma and strong knowledge of medical terminology. Prior experience in medical case management is preferred.

Benefits

Comprehensive benefits including Health and Wellness programs

Income Protection

Paid Leave

Retirement

Qualifications

• Strong knowledge of anatomy and medical terminology.
• Experience in medical coding and chart audits.
• Ability to coordinate with medical providers and ensure report accuracy.

Responsibilities

• Review and audit exam reports for completeness.
• Ensure accuracy of medical coding.
• Coordinate with medical providers for report clarification.

Skills

Strong knowledge of anatomy and medical terminology

Ability to read and analyze medical reports

Experience working with medical providers

Education

High School Diploma or equivalent (GED)

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Competitive compensation package with an 8% pay increase upon successful completion of training
- Opportunity for career advancement and growth within the organization
- Remote work opportunity available for candidates on the East Coast
- Comprehensive benefits including Health and Wellness programs, Income Protection, Paid Leave, and Retirement
- Supportive and collaborative work environment with a focus on mentorship and training

What to Expect (Job Responsibilities):
- Review and audit exam reports sent from medical providers for completeness and accuracy
- Ensure all medical coding is accurate and comprehensive
- Verify that all necessary tests have been ordered, completed, and documented in the medical record
- Coordinate with medical providers for clarification of reports as needed
- Collaborate with in-house appointment schedules to arrange additional appointments for veterans

What is Required (Qualifications):
- High School Diploma or equivalent (GED)
- Strong knowledge of anatomy and medical terminology
- Ability to read and analyze medical reports effectively
- Experience working with medical providers including credentialing, medical coding, and chart audits
- Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation

How to Stand Out (Preferred Qualifications):
- Certification as an allied medical professional or relevant vocational training in the medical field (e.g., LVN, CNA, EMT)
- Direct healthcare experience in medical case management or quality assurance
- Familiarity with military medical examinations or experience working with the VA
- Understanding of general disability claims and audits
- Experience assisting with medical tests, treatments, and procedures

#HealthcareServices #QualityAssurance #RemoteWork #CareerGrowth #VeteransServices

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