Quality Assurance Coordinator (29146)

ExamWorks, Inc.; Rancho Cordova (CA); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Quality Assurance Coordinator to join their innovative team. This role offers a unique opportunity to ensure the highest standards of quality in medical reports by reviewing for accuracy in grammar, terminology, and content. With a focus on detail and communication, you will play a crucial part in maintaining compliance and delivering exceptional service. Enjoy the flexibility of a fully remote position with a Monday to Friday schedule, and be part of a culture that prioritizes employee well-being and professional growth. If you're ready to thrive in a supportive environment, this is the opportunity for you.

Benefits

Medical Benefits

Vision Insurance

Dental Insurance

Paid Time Off

401k Plan

Qualifications

• Two years of medical office experience required.
• Strong knowledge of medical terminology, anatomy, and physiology.
• Qualified typist with a minimum of 40 W.P.M preferred.

Responsibilities

• Perform quality assurance review of medical reports and correspondence.
• Ensure compliance with client specifications and state mandates.
• Assist in resolution of customer complaints and quality assurance issues.

Skills

Medical Terminology

Attention to Detail

Communication Skills

Grammar and Punctuation

Time Management

Confidentiality

Ability to Work Under Pressure

Education

High School Diploma or Equivalent

Tools

Microsoft Word

Microsoft Outlook

Microsoft Excel

Job description

Job Details

Job Location: Rancho Cordova, CA

Position Type: Full Time

Salary Range: $20.00 - $22.00 Hourly

Travel Percentage: None

Description

ExamWorks is seeking a Quality Assurance Coordinator to join our team. In this role, you’ll ensure medical reports are spot-on by reviewing for errors in grammar, medical terminology, and content accuracy. Your sharp attention to detail will be crucial in maintaining the highest standards of quality.

Why You’ll Love This Job:

• 100% remote—work from home where you're most comfortable!
• Monday through Friday schedule. Perfect for those seeking a consistent routine with occasional flexibility.
• Employee-first culture with great benefits —because we believe in investing in YOU!

If you're ready for a new challenge and want to thrive in a role that offers work-life balance, apply now and start your journey with ExamWorks today!

DUTIES:

• Performs quality assurance review of medical reports, correspondences, addendums or supplemental reviews.
• Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
• Ensures that all client instructions and specifications have been followed and that all questions have been addressed.
• Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.
• Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
• Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.
• Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.
• Ensures the provider credentials and signature are adhered to the final report.
• Identifies any inconsistencies within the report and contacts the Provider to obtain clarification, modification or correction as needed.
• Assists in resolution of customer complaints and quality assurance issues as needed.
• Ensures all federal ERISA and/or state mandates are adhered to at all times.
• Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
• Promote effective and efficient utilization of company resources.
• Participate in various educational and or training activities as required.
• Perform other duties as assigned.

Qualifications

• High school diploma or equivalent required.
• Two years of medical office experience.
• Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
• Qualified typist with a minimum of 40 W.P.M preferred
• Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
• Must possess excellent skills in English usage, grammar, punctuation and style.
• Ability to follow instructions and respond to upper managements’ directions accurately.
• Demonstrates accuracy and thoroughness.
• Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
• Must be able to work independently, prioritize work activities and use time efficiently.
• Must be able to maintain confidentiality.
• Must be able to stay focused and concentrate under normal or heavy distractions.
• Must be able to work well under pressure and or stressful conditions.
• Must possess the ability to manage change, delays, or unexpected events appropriately.
• Demonstrates reliability and abides by the company attendance policy.

ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.

ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.

Equal Opportunity Employer - Minorities/Females/Disabled/Veterans