Quality Assurance Coordinator (29674)

Are you a detail-oriented professional with a medical or pharmacy technician background? Do you have a passion for accuracy, compliance, and high-quality service? We are looking for a Quality Assurance Coordinator to help make a meaningful impact in a collaborative, healthcare-focused environment!

This will be 100% remote! with a schedule of Sunday through Thursday, 12:00 PM to 8:30 PM EST Compensation: $20–22/hour

The Quality Assurance Coordinator is responsible for reviewing reports, addendums, and correspondence to ensure they meet the highest standards of accuracy, quality, and compliance. You will support the QA Department by verifying clinical content, validating proper credentials, and maintaining thorough and professional documentation — all while delivering outstanding customer service to our clients and team members.

ESSENTIAL JOB FUNCTIONS

• Review all reports and related documents for clarity, accuracy, completeness, and compliance with client guidelines and company standards.
• Verify that appropriate board-certified reviewers and current clinical references support all determinations.
• Confirm that client-specific instructions and state or federal requirements (e.g. ERISA, HIPAA) are followed.
• Liaise with provider reviewers to address inconsistencies and request any needed clarifications.
• Maintain regular contact with the QA team and manage report status updates in our databases.
• Respond promptly to client inquiries and resolve any complaints or quality concerns.
• Support continuous process improvement by identifying trends, errors, or delays and reporting findings to management.

MINIMUM REQUIRED QUALIFICATIONS

• High school diploma or equivalent required
• 2+ years of experience as a pharmacy technician, medical assistant, or in a medical/claims management setting is preferred
• Familiarity with workers’ compensation, liability, disability, or insurance industry processes is a plus
• Strong working knowledge of medical terminology, anatomy, physiology, medications, and lab values
• Proven proficiency in Microsoft Word, Outlook, Excel, and web-based platforms
• Typing speed of at least 40 WPM with high accuracy
• Excellent written and verbal communication skills, including the ability to write clearly and professionally for all audiences.

ESSENTIAL COMPETENCIES

• Proficient in Microsoft Word, Outlook, Excel, and web-based tools
• Able to operate general office equipment (computer, fax, copier, scanner, phone)
• Typing speed of at least 40 WPM
• Strong attention to detail and commitment to high-quality results
• Ability to work independently and as part of a team
• Strong organizational skills, with the ability to prioritize tasks and manage time efficiently
• Ability to maintain confidentiality and adhere to HIPAA regulations
• Flexible, adaptable, and solution-focused under pressure.

LANGUAGE/COMMUNICATION SKILLS

• Ability to read, analyze and interpret common correspondence, medical records, and legal contracts and documents.
• Ability to write clearly and informatively to all required audiences and edit own work for appropriate spelling and grammar.
• Ability to respond appropriately and professionally to all inquiries or complaints from customers, physicians, regulatory agencies, and/or members of the business community. 
• Ability to effectively present information one-on-one or in small groups.

WORK ENVIRONMENT

• Standard business hours with occasional extended shifts
• Moderate noise level and collaborative atmosphere

WHO WE ARE

MCMC 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 cl