Under close supervision, performs a variety of activities to ensure accuracy and completeness of medical documentation and evaluation processes through the various training phases. Reviews and develops information for processes and diagnosis based on training and knowledge of medical processes and procedures performed. Tracks and controls non-conformance documents, reviews anomalies and contacts medical professionals for clarification with Quality Specialist. Reviews final documentation for accuracy and obtains finalization from medical professionals.
Essential Duties and Responsibilities:
- Must have the ability to work the alternative work schedule-Thursday to Sunday
- Responsible for satisfactory completion of QTC Medical Quality Assurance Training Program
- Provide quality assurance for general medical and specialty examination reports
- Responsible for the timeliness and quality of medical reports
- Interface with physicians and healthcare extenders and provide case specific feedback as necessary
- Meet personal productivity and quality goals
- Other projects and duties as assigned
- Working knowledge and understanding of medical terminology, anatomy and physiology
- Ability to work independently and with team members at all levels of the organization
- Excellent verbal and written communication skills
- Proven ability to organize, plan, coordinate and multi-task
- Able to work with a high sense of urgency and follow through while maintaining professional composure
- Ability to investigate, fact find and provide evidence towards case resolution
- Working computer skills
- Proven analytical skills
- Must possess the ability and flexibility to work early morning, evening, and/or weekend shifts
- High School diploma, or equivalent (GED)
- Vocational training in specific aspects of job functions and/or demonstrated ability to perform assigned tasks, preferably in a medical related area of study (i.e. LVN, LPN, EMT, MA, Military Medic, etc.).
- 0 to 1 year of experience in healthcare, medical, or insurance related industries
- Direct healthcare experience in medical case management or quality assurance to include the review of complex
multi-focal medical reports for quality, clarity, thoroughness and insightful medical explanation
- Experience with case management software, electronic medical records and medical databases
- Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation
QTC Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and protected veteran status.
QTC, a Leidos company, is the largest provider of disability and occupational health examination services. Our more than 35-year history has been marked by a focus on delivering high quality, technology-driven, exam solutions for our clients. QTC applies a customized, systematic operational workflow to administer evaluations, supported by innovative technology that achieves extraordinary quality, timeliness, and customer service goals. We apply a customized, systematic operational workflow to administer independent medical examinations and associated services. This workflow is supported by secure information technology and achieves extraordinary quality, timeliness, cost-effectiveness, and customer service goals. We believe in efficiency which is why our business is based on a one-stop-shop approach. QTC’s proprietary technology automates the examination workflow and provides clients with real-time access to case information, tracking, and reporting. Our network is supported by more than 1,000 experienced clinical, corporate and operational associates, and more than 90 clinic locations that include physicians, registered nurses, licensed vocational nurses, medical assistants, phlebotomists, radiographic technology technicians, and various ancillary support personnel.