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EXAMWORKS INC Quality Assurance Coordinator in MADISON, Wisconsin

JOB REQUIREMENTS: Quality Assurance Coordinator Requisition ID 2024-10726 # of Openings 1 Category Operations Location US-WI-Madison Overview ExamWorks is looking for a Remote Quality Assurance Coordinator to join our team! The Quality Assurance Coordinator is responsible to ensure medical reports are completed at the highest level of quality and integrity and in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates. This position is required to handle quality assurance questions and provide overall support to the Quality Assurance Department. The schedule is Monday to Friday 10:30am CT - 7:00pm CT. Responsibilities 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... For full info follow application link. It is the policy of ExamWorks Group, Inc. and its subsidiaries to employ qualified persons of the greatest ability without discrimination against any employee or applicant for employment because of race, religion, color, sex, physical or mental disability, national origin, age, status as a disabled veteran, a recently separated veteran, an Armed Forces service medal veteran or other protected veteran or any other protected group status and further, to take affirmative action to employ and advance in employment qualified minorities, women, disabled persons, disabled veterans, recently separated veterans, Armed Forces service medal veterans or other protected veterans ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/B8DE4797ADAF439B

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