The Clinical Quality Assurance Coordinator performs quality reviews of peer review reports to ensure they meet regulatory standards and client specifications. They also identify inconsistencies in reports and collaborate with peer reviewers to ensure accuracy and evidence-based rationales.
Perform quality assurance reviews of peer review reports to ensure they meet clinical standards, regulatory requirements, and client specifications. Identify inconsistencies, verify clinical citations, and provide guidance to management regarding consultant quality and compliance.
The Business Development Manager is responsible for identifying new sales opportunities, engaging clients, and managing existing accounts within the medical-legal market. They will also represent the company at industry events and collaborate with leadership to meet revenue objectives.
Responsible for creating reports based on medical records and analyzing provider billing for proper coding and billing guidelines. The role involves processing claims, performing quality assurance, and ensuring compliance with regulatory standards and client agreements.
