Medical QA Specialist I at QTC Management, Inc. in San Dimas, California

Job Description:

Job Summary:

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: 

• Accountable for the timeliness and quality of medical services and reports


• Provide quality assurance and careful review of examination reports to ensure reports are complete, consistent, and clear


• Provide case specific physician training and ongoing feedback


• Review provider invoices against services rendered


• Review additional documentation related to the examination


• Interact with clients, providers, medical case administrators, and case technician.


• Meet personal productivity and quality goals


• Perform other duties and responsibilities as assigned

Competencies:

• Excellent verbal and written communication skills


• Exceptional interpersonal and organization skills


• Ability to plan, coordinate, excel at details, multi-task and work with a high sense of urgency


• Knowledge of medical terminology


• Proficient with word processing software applications and medical database systems


• Must be a team player and work well with others

• Education and/or Experience: (includes certificate & licenses)


• High School diploma, or equivalent (GED)


• Bachelor's Degree preferred


• 1-2 years of experience with computers, data entry and various software applications


• Medical background preferred


• Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation

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.

Administrative/Technical