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 - Wisconsin Remote

Review peer-review reports for clinical accuracy, regulatory compliance, and documentation quality in this remote ExamWorks role based in Wisconsin.

Сипаттама

  • Review peer-review reports, correspondence, addenda, and supplemental reviews for quality
  • Ensure recommendations and determinations are supported by clear, concise, evidence-based rationales
  • Confirm that client instructions, specifications, questions, clinical citations, and references are fully addressed
  • Check reports against company standards for content, formatting, presentation, and regulatory compliance
  • Verify that reviews are completed by the appropriate board-certified specialty and documented accurately
  • Validate peer reviewer attestations, conflict-of-interest status, credentials, and signatures
  • Identify report discrepancies and contact peer reviewers to request clarification, revisions, or corrections
  • Support the resolution of customer complaints and other quality assurance matters
  • Maintain compliance with federal ERISA requirements and applicable state mandates
  • Provide management with observations about consultant quality, availability, and compliance
  • Support the efficient use of company resources
  • Take part in educational programs and training activities
  • Complete additional duties as assigned

Талаптар

  • An active RN or LPN nursing license is required
  • Graduate from an accredited nursing program or equivalent related medical experience
  • Bachelor's degree preferred
  • At least two years of clinical or related experience, or an equivalent combination of education and experience
  • Strong understanding of medical terminology, anatomy and physiology, medications, and laboratory values
  • Ability to complete arithmetic calculations using whole numbers and decimals and calculate rates and percentages
  • Typing speed of at least 40 words per minute
  • Ability to use computers, fax machines, copiers, scanners, and telephones
  • Working knowledge of Microsoft Word, Outlook, Excel, and the Internet
  • Excellent command of English usage, grammar, punctuation, and style
  • Ability to follow instructions and accurately act on management direction
  • Consistent accuracy and attention to detail
  • Exceptional written and verbal communication skills
  • Ability to work independently, prioritize tasks, and manage time effectively
  • Ability to protect confidential information

Артықшылықтар

  • Fully remote work arrangement
  • Medical, vision, and dental coverage
  • Paid time off
  • 401(k) plan
  • Fast-paced team environment

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