ExamWorks
ExamWorks
5 001 – 10 000 Xodimlar
HuquqKonsaltingSog‘liqni saqlash

ExamWorks sog‘liqni saqlash, konsalting va yuridik xizmatlar kesishgan sohada faoliyat yuritib, da’volar va ular bilan bog‘liq jarayonlar uchun mustaqil tibbiy ko‘riklar hamda ekspert baholashlarini taqdim etadi. Kompaniya faoliyati hisob-fakturalarni ko‘rib chiqish, Medicare talablariga muvofiqlikni ta’minlash, tibbiy yozuvlar va hujjatlarni boshqarish hamda muvofiqlik auditlarini ham qamrab oladi.

Kompaniya shifokorlarning keng tarmog‘ini qo‘llab-quvvatlaydi va sog‘liqni saqlash tashkilotlari uchun korporativ platformalar hamda ish jarayonlarini boshqarish vositalarini ishlab chiqadi. Uning jamoalari klinik, operatsion, muvofiqlik va texnologik tajribani birlashtirib, mijozlarga tibbiy yozuvlar va da’volarni yanada izchil hamda ishonchli boshqarishda yordam beradi.

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.

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

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

O‘xshash ish o‘rinlari

Centorrino Technologies

Remote Risk Management Specialist — Australia

Centorrino Technologies

Implement a risk management system for regulated Australian organisations, translating governance needs into configuration, testing, reporting and adoption. Work across the implementation lifecycle with stakeholders on risk data, controls and executive reporting.

Ochish