Quality Assurance Specialist

MDpanel

California, Northern (MO, KY)

Hybrid

USD 70,000 - 110,000

Full time

4 days ago
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Job summary

MDpanel is seeking a Quality Assurance Specialist to collaborate with physician evaluators in producing complete, accurate medical-legal reports that meet statutory requirements and billing timelines.

Supported by the Triage and Transcription teams, you will ensure reports are grammatically correct, compliant with standards, and ready for billing. Experience with California Medical-Legal Workers' Compensation reporting is essential.

Qualifications

  • Excellent typing, word processing, formatting and editing skills.
  • Strong knowledge of medical terminology, anatomy, physiology and pharmacology.
  • Thorough understanding of AMA Guides (5th Edition) and California Labor codes.

Responsibilities

  • Review medical-legal reports following QA guidelines.
  • Verify completeness and accuracy of Medical-Legal reports.
  • Ensure compliance with CA Labor Code changes.

Skills

Attention to detail
Typing proficiency
Communication
Ethical judgment

Tools

MS Word

Job description

MDpanelis one of the largest providers of expert medical opinions in the United States. We are committed to being the most coveted partner for physicians, carriers, attorneys, and patients by connecting those in need of medical opinions with the most qualified and highly regarded medical professionals in the U.S.MDpanelallows our member healthcare professional partners to maximize their time and produce unparalleled revenue opportunities. In return, our carrier and attorney clients receivetimely, complete, thorough, and easy-to-understand opinions to support the medical legal inquiry.

MDpanelis revolutionizing the medical opinion space by creating the first true marketplace to connect those in need of medical opinions to those capable of providing them. Unlike traditional, services-based models, we are devoted to our healthcare professionals and are relentless about removing the burden of administration, securing exam volume, preparingforand supporting physical examinations, backend processing, report submissions, and billing. At the heart ofMDpanel, our team is committed to delivering an unparalleled experience for all stakeholders. We think big, start small, and move fast. Our culture is built on supporting each other with accountability, transparency, and passion for our mission.

Position Summary:

The Quality Assurance Specialist will collaborate closely with physician evaluators, serving as a key resource in ensuring medical-legal reports are complete, accurate, and meet statutory requirements. This role is essential in facilitating the production of high-quality reports in a timely manner. Supported by the Triage and Transcription teams, the QA specialist will ensure reports are grammatically correct, compliant with legal standards, and processed for billing in a timely fashion.

Essential Duties and Responsibilities:
  • Review medical-legal reports following MDpanel's QA Best Practice Guidelines
  • Verify the completeness and accuracy on all Medical-Legal reports
  • Ensure all reports comply with all current CA Labor Code and Case Law changes
  • Review impairment discussions and analysis and include Almaraz/Guzman and Kite analysis where appropriate
  • Provide consultation to physicians as needed regarding findings on impairment, apportionment, temporary and permanent disability
  • Assist in preparing physicians for depositions
  • Review and assess medical records
Qualifications and Preferred Skills:
  • Experience with California Medical-Legal Workers' Compensation reporting is essential
  • Strong proficiency in typing, word processing, formatting, and editing
  • Advanced knowledge in all fields of medical terminology, anatomy, physiology, and pharmacology in the specialties of orthopedics, neurologists, internal medicine, ophthalmology, dentistry, and psychiatry/psychology
  • Expertise in MS Word
  • Excellent verbal and written communication skills, particularly in interactions with clinicians
  • Thorough understanding of AMA Guides (5th Edition) and California Labor codes
  • Familiarity with AMA Guides (6th edition) is preferred but not required
  • Experience in reviewing QME, AME, and IME reports
  • Strong ethical judgement and independent decision-making abilities, demonstrating a high degree of professional excellence
Additional Information:

The salary range for this position is provided as an estimate based on current market conditions and company benchmarks. Actual compensation may vary depending on factors such as experience, qualifications, skills, location, and internal equity. Please note that we are unable to provide sponsorship assistance currently . All applicants must have a valid work authorization for the country in which they are applying.

Please note that this compensation range is subject to change at any time and may not be applicable to all candidates. We are committed to ensuring fair and equitable pay practices and encourage applicants to discuss any questions or concerns regarding compensation during the interview process.

MDpanel is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace where all associates feel valued, respected, and supported. We do not discriminate based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other legally protected characteristic.

We are dedicated to fostering a culture of inclusion and belonging and encourage applicants of all backgrounds to apply. If you require accommodations during the application or interview process, please contact hr@mdpanel.com

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