ExamWorks
ExamWorks
5 001 – 10 000 Қызметкерлер
Денсаулық сақтауКонсалтингҚұқық

ExamWorks денсаулық сақтау, консалтинг және заң қызметтері тоғысындағы бағытта жұмыс істеп, талаптар мен оларға байланысты үдерістер үшін тәуелсіз медициналық тексерулер мен сараптамалық бағалаулар ұсынады. Компанияның қызметіне шоттарды тексеру, Medicare талаптарына сәйкестікті қамтамасыз ету, медициналық жазбалар мен құжаттарды басқару және сәйкестік аудиттері де кіреді.

Компания дәрігерлердің кең желісін қолдайды және денсаулық сақтау ұйымдарына арналған корпоративтік платформалар мен жұмыс үдерістерін басқару құралдарын әзірлейді. Оның командалары клиникалық, операциялық, сәйкестік және технологиялық сараптаманы біріктіріп, клиенттерге медициналық жазбалар мен талаптарды неғұрлым бірізді әрі сенімді басқаруға көмектеседі.

Clinical Quality Assurance Coordinator — Massachusetts Remote

Review clinical peer-review documentation for MES, a provider of medical examination and peer-review services. Support evidence-based quality, regulatory compliance, and accurate reporting.

Сипаттама

  • Conduct quality assurance reviews of peer-review reports, correspondence, addenda, and supplemental reviews.
  • Confirm that recommendations and determinations are supported by clear, concise, evidence-based rationales.
  • Check that client instructions, specifications, and questions have been fully addressed.
  • Validate that clinical citations are current and sourced from reputable medical publications.
  • Ensure reports meet company standards for content, formatting, and professional presentation.
  • Confirm the appropriate board specialty conducted the review and that documentation is accurate.
  • Verify peer-reviewer attestations and the absence of conflicts of interest.
  • Ensure final reports contain provider credentials and signatures.
  • Resolve report inconsistencies by contacting peer reviewers for clarification or corrections.
  • Support the handling of customer complaints and quality assurance concerns.
  • Maintain compliance with federal ERISA requirements and state mandates.
  • Provide management with insight into consultant quality, availability, and compliance.
  • Support effective and efficient use of company resources.
  • Complete required education and training activities.
  • Carry out other assigned responsibilities.

Талаптар

  • Hold an active RN or LPN nursing license.
  • Graduate from an accredited nursing program or possess related medical experience.
  • A bachelor’s degree is preferred.
  • Have at least two years of clinical or related experience, or an equivalent combination of education and experience.
  • Demonstrate strong knowledge of medical terminology, anatomy and physiology, medications, and laboratory values.
  • Perform arithmetic calculations involving whole numbers, decimals, rates, and percentages.
  • Type at least 40 words per minute.
  • Operate computers, fax machines, copiers, scanners, and telephones.
  • Use Microsoft Word, Outlook, Excel, and the Internet.
  • Demonstrate excellent English usage, grammar, punctuation, and writing style.
  • Follow instructions and accurately respond to management direction.
  • Work independently, prioritize tasks, and manage time efficiently.
  • Maintain confidentiality.

Артықшылықтар

  • Medical, vision, and dental benefits are available.
  • Paid time off.
  • 401(k) plan.

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