Remote RN Clinical Documentation QA Specialist

TEKsystems; Dallas (TX); Remote; USD 37,000 - 39,000; Full time

Job summary

The Clinical Quality Assurance Coordinator is responsible for ensuring case reports are of the highest quality and integrity, and in full compliance with client contractual agreements, regulatory agency standards and federal and state mandates. This position supports the Quality Assurance Department and handles QA questions.

Qualifications include RN or LPN experience, professional writing skills, and the ability to hit deadlines.

Qualifications

• Previous experience within nursing/clinical documentation (RN or LPN).
• Professional writing skills.
• Ability to hit deadlines.

Responsibilities

• Perform quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.
• Ensure clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
• Ensure that all client instructions and specifications have been followed and that all questions have been addressed.
• Ensure 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.
• Ensure the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
• Ensure the appropriate board specialty has reviewed the case in compliance with client specifications or state mandates and is documented accurately on the case report.
• Verify that the peer reviewer has attested to only the facts and that no evidence of reviewer conflict of interest exists.
• Identify any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.
• Assist in resolution of client complaints and quality assurance issues as needed.

Skills

Professional writing skills

Ability to hit deadlines

Education

RN or LPN

Job description

The Clinical Quality Assurance Coordinator is responsible for ensuring case reports are of the highest quality and integrity, and in full compliance with client contractual agreements, regulatory agency standards and federal and state mandates. This position supports the Quality Assurance Department and handles QA questions.

Qualifications include RN or LPN experience, professional writing skills, and the ability to hit deadlines.