Medical Quality Assurance Specialist I
About The Position
Do you crave a career that truly makes an impact in people’s lives? Do you thrive on problem-solving and finding solutions? Join a dedicated, tight-knit team that creates an immediate and meaningful impact every day. Leidos QTC Health Services is seeking a Medical Quality Assurance Specialist on our Veteran Affairs Services team. You will work closely with medical providers and the Veterans Administration to ensure the documentation process is complete and accurate. In this role, you will review documentation sent over from medical providers and ensure the report is complete, concise, clear, and correct and the provider has accurately completed the Disability Benefit Questionnaires for delivery back to the VA.
Requirements
- High School Diploma or equivalent (GED)
- Strong knowledge and understanding of anatomy and medical terminology
- Ability to read and analyze medical reports
- Aptitude to apply clinical reasoning (diagnostic testing)
- Ability to write clear questions to submit to the provider
- Experience working with medical providers (credentialing, medical coding, chart audits, triage, scribe, nursing)
- Understanding of case management software, electronic medical records and medical databases
- Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation
Nice To Haves
- Allied medical professional certification, or relevant college, or vocational training in the medical field, i.e. LVN, CNA, Military Corpsman/Medic, EMT, MA, 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 assisting with medical tests, treatments and procedures
- Knowledge of military medical examinations or experience working with the VA
- Understanding of general disability claims, workers compensation, or audits
Responsibilities
- Review and audit exam reports sent over from medical providers
- Ensure all medical coding is complete and accurate
- Ensure all tests have been ordered and completed, and present in the medical record
- Coordinate with medical providers as needed for clarification of reports
- Work with our in house appointment schedules to request additional appointments for the veteran as necessary
Benefits
- Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
