Quality Assurance Coordinator (29146)

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.

• 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.