QTC Management, Inc.
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:
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
Education and/or Experience
includes certificate & licenses
High School diploma or equivalent experience/combined education.
6 months to 1 years of experience in healthcare, medical, or insurance related industries
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.).
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
Physical and Mental Requirements:
The physical and mental requirements and abilities described herein represent those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Specific mental requirements and abilities essential to the performance of this position include but are not intended to be all-inclusive: reading comprehension and writing capabilities, adaptability, analyzing, assessing, calculating, decision-making, good judgment, social skills, ability to follow instructions, and self-management.
Specific physical requirements and abilities essential to the performance of this position include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus. While performing the duties of this job, the employee is regularly required to stand; sit; use hands to finger, handle, or feel and talk or hear. The employee is frequently required to reach with hands and arm. The employee is occasionally required to walk and stop, kneel, crouch, crawl, or lift and/or move up to 20 pounds.
This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.
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.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. We are also an equal opportunity employer of individuals with disabilities and protected veterans.
Please view Equal Employment Opportunity Posters provided by OFCCP here
QTC Management, Inc.
Website : http://www.qtcm.com
QTC is currently the largest private provider of government-outsourced occupational health and disability examination services in the nation. We employ more than 540 experienced clinical, operational, and corporate associates located within 39 company-owned and government-based facilities across the nation.