Clinical Quality Assurance Coordinator

MES Solutions•Norwood, MA

1d•Remote

About The Position

MES is seeking a Clinical Quality Assurance Coordinator, ideally an LPN/LVN, to join their growing team. This 100% remote, full-time position involves reviewing medical records, extracting key details, and creating detailed narrative summaries to support the quality assurance process. The role offers flexible Monday-Friday hours, allowing employees to start their day between 7:00 am and 12:00 pm EST and end between 3:30 pm and 8:30 pm EST. Comprehensive training is provided for the first 4-6 weeks, with a preferred schedule of 12:00 pm-8:30 pm EST. MES is an employee-first company that provides excellent benefits and opportunities for career growth.

Requirements

High school diploma or equivalent
LPN/LVN/RN may be required based on business needs
Strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values
Qualified typist with a minimum of 40 W.P.M
Full understanding of HIPAA regulations and compliance
Ability to operate a general computer, fax, copier, scanner, and telephone
Knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet
Exceptional communication skills
Ability to demonstrate accuracy and thoroughness

Nice To Haves

A minimum of two years clinical or related field experience; or equivalent combination of education and experience
Knowledge of the insurance industry, preferably claims management relative to one or more of the following categories: workers' compensation, no-fault, liability, or disability

Responsibilities

Dive into medical records, pulling out key details
Craft detailed narrative summaries
Follow instructions and respond to upper managements’ directions accurately
Look for ways to improve and promote quality and monitors own work to ensure quality is met
Work independently, prioritize work activities and use time efficiently
Maintain confidentiality
Demonstrate and promote a positive team-oriented environment
Stay focused and concentrate under normal or heavy distractions
Work well under pressure and or stressful conditions
Manage change, delays, or unexpected events appropriately
Follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time
Read, analyze and interpret common correspondence, medical records, and legal contracts and documents
Write clearly and informatively to all required audiences and edit own work for appropriate spelling and grammar
Respond appropriately and professionally to all inquiries or complaints from customers, physicians, regulatory agencies, and/or members of the business community
Effectively present information one-on-one or in small groups