Medical Quality Assurance Specialist I

QTC Management; Philadelphia (Philadelphia County); Remote; USD 45,000 - 60,000; Full time

Job summary

Une entreprise de services de santé recherche un candidat pour un poste d'expert en assurance qualité, impliquant l'audit de rapports médicaux. Cette position offre une formation complète et la possibilité de travailler à distance. Nous attendons des candidats avec une forte connaissance de la terminologie médicale et une capacité à analyser des documents complexes. Ces responsabilités sont cruciales pour apporter un soutien significatif aux vétérans et à leurs familles.

Benefits

Opportunity for career advancement with pay increase

Flexible remote work environment

Comprehensive training program

Health and Wellness programs

Paid Leave

Retirement plans

Qualifications

• Diplôme de secondaire requis, connaissance solide de l'anatomie et de la terminologie médicale.
• Capacité à lire et analyser efficacement les rapports médicaux.
• Expérience avec les fournisseurs médicaux en codage médical et audits.

Responsibilities

• Vérifier et auditer les rapports d'examen médical pour précision.
• Coordonner avec les fournisseurs médicaux pour des clarifications.
• Gérer les plannings de rendez-vous et demander des examens supplémentaires si nécessaire.

Skills

Knowledge of anatomy

Medical terminology

Analyzing medical reports

Coordination with medical providers

Clinical reasoning

Education

High School Diploma or equivalent (GED)

Job description

Employer Industry: Health Services

Why consider this job opportunity:
- Opportunity for career advancement with an 8% pay increase upon successful completion of training
- Work remotely from the East Coast, providing flexibility in your work environment
- Comprehensive training program lasting 6-8 months, including coaching and mentorship
- Competitive compensation and benefits including Health and Wellness programs, Paid Leave, and Retirement plans
- Chance to make a meaningful impact in the lives of veterans and their families
- Collaborative and supportive team atmosphere focused on quality assurance

What to Expect (Job Responsibilities):
- Review and audit exam reports from medical providers to ensure completeness and accuracy
- Verify that all medical coding is correctly applied and all necessary tests are documented
- Coordinate with medical providers for clarification on reports as needed
- Manage appointment schedules and request additional appointments for veterans when necessary
- Analyze medical reports using clinical reasoning and submit clear questions to providers

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 in areas such as medical coding and chart audits
- Must pass a 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
- 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, workers' compensation, or audits
- Experience assisting with medical tests, treatments, and procedures

#HealthServices #QualityAssurance #RemoteWork #VeteranSupport #CareerGrowth

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About the company

QTC is the largest provider of disability and occupational health examination services. QTC delivers technically advanced medical exam solutions.

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