[Remote] Clinical Quality Assurance Coordinator (32343)

Note: The job is a remote job and is open to candidates in USA. ExamWorks is a leading provider of innovative healthcare services including independent medical examinations and peer reviews. They are seeking a Clinical Quality Assurance Coordinator who will review medical records, identify key details, and create clear summaries while ensuring compliance with quality standards.ResponsibilitiesPerform quality assurance review of peer review reports, correspondences, addendums or supplemental reviewsEnsure clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinationsEnsure that all client instructions and specifications have been followed and that all questions have been addressedEnsure 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 publicationsEnsure the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standardsEnsure the appropriate board specialty has reviewed the case in compliance with client specifications or state mandates and is documented accurately on the case reportVerify that the peer reviewer has attested to only the facts and that no evidence of reviewer conflict of interest existsEnsure the provider credentials and signature are adhered to the final reportIdentify any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as neededAssist in resolution of client complaints and quality assurance issues as neededEnsure all federal ERISA and state mandates are adhered to at all timesProvide insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specificationsPromote effective and efficient utilization of company resourcesParticipate in various educational and or training activities as requiredPerform other duties as assignedSkillsNursing licenseMust have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory valuesMust be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentagesMust be a qualified typist with a minimum of 40 W.P.M preferredMust be able to operate a general computer, fax, copier, scanner, and telephoneMust be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the InternetMust possess excellent skills in English usage, grammar, punctuation and styleAbility to follow instructions and respond to upper managements' directions accuratelyMust demonstrate accuracy and thoroughness. Look for ways to improve and promote quality and monitors own work to ensure quality is metMust demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is neededMust be able to work independently, prioritize work activities and use time efficientlyMust be able to maintain confidentialityMust be able to demonstrate and promote a positive team-oriented environmentProfessional writing experience preferredMust be a qualified typist with a minimum of 40 W.P.M preferredBenefits100% remote – Work from the comfort of homeFlexible schedule – Training hours are Monday–Friday, 7:30 AM–4:00 PM CT, with flexibility once you’re up to speed (within standard business hours)Competitive benefits (medical, vision, dental)Paid time off401kCompany OverviewClay Consulting serves the federal healthcare ecosystem from the Departments of Defense, Labor, and Justice right on down to state-level agencies. It was founded in undefined, and is headquartered in Houston, Texas, USA, with a workforce of 201-500 employees. Its website is https://clayconsultingllc.com.