The auditor evaluates clinical information from hospital records to ensure reports meet quality, integrity, and regulatory standards. Responsibilities include reviewing medical chronologies, bill reviews, and peer review reports while providing support to the Quality Assurance Department.
ExamWorks
12 Remote Job Openings at ExamWorks
The coordinator performs quality assurance reviews on medical reports to ensure accuracy in grammar, terminology, and compliance with client specifications. They identify inconsistencies and collaborate with providers to obtain necessary corrections or clarifications.
Perform quality assurance reviews of peer review reports to ensure they meet clinical, regulatory, and client standards. Identify inconsistencies in reports and collaborate with peer reviewers to obtain necessary corrections or clarifications.
Lead the internal change and adoption strategy for a Salesforce transformation and broader organizational modernization initiatives. Establish internal change capabilities, including communication and training frameworks, to ensure sustainable operational improvements.
The Client Coordinator manages client inquiries and supports case workflow by handling data entry, tracking, and documentation. They serve as a primary point of contact for clients, physicians, and nurses to ensure high-quality service and regulatory compliance.
Clinical Quality Assurance Coordinator - Supervisor (32090)
ExamWorks
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Full Time
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19 days ago
ExamWorks
Lead and coordinate the daily workflow of the Clinical Quality Assurance team to ensure high-quality, evidence-based clinical determinations. Maintain client relationships and ensure compliance with federal ERISA and state mandates.
The Client Coordinator handles inquiries from clients and medical professionals while managing data entry, tracking, and documentation. They are responsible for maintaining database accuracy and coordinating with the QA department to ensure timely case returns.
Perform quality assurance reviews of peer review reports to ensure clinical accuracy, evidence-based rationales, and compliance with company and client standards. Identify inconsistencies in reports and collaborate with peer reviewers to obtain necessary corrections or clarifications.
Perform quality assurance reviews of peer review reports to ensure they meet clinical, regulatory, and client standards. Coordinate with peer reviewers to correct inconsistencies and ensure compliance with federal and state mandates.
The Client Coordinator is responsible for servicing inquiries from clients and maintaining documentation and filing. This includes data preparation, data entry, and ensuring compliance with regulatory and company standards.
The Medical Coding Specialist is responsible for creating reports based on medical records and guidelines, analyzing provider billing for proper coding, and ensuring all work complies with contractual agreements and regulatory standards. Essential functions include receiving and inputting client data, processing and reviewing claims, performing quality assurance, and maintaining proper documentation for audits.
The Account Executive is responsible for actively identifying and engaging new clients while strategically nurturing and expanding relationships with existing ones, focusing on maintaining consistent client contact and developing targeted territory plans. This role requires frequent travel within the territory to provide exceptional customer service, prospect new clients, and represent the company at industry events to surpass revenue objectives.