Quality Assurance Analyst

TEKsystemsCharleston, SC
7d$24 - $29Remote

About The Position

A large healthcare services organization is seeking 6 Clinical Quality Assurance Coordinators to support a high‑volume national review process. This is a fully remote, detail‑intensive position requiring strong clinical knowledge, exceptional communication skills, and the ability to evaluate nursing and clinical documentation with accuracy and consistency. You will review documentation, verify that clinical services matched what was authorized, ensure state insurance guidelines were followed, and communicate findings to clients by phone and email. This is an excellent opportunity for RNs or LPNs who want a full‑time, stable work‑from‑home role with meaningful impact on patient service quality.

Requirements

  • Active Nursing License (RN or LPN) – required
  • RNs: $29/hour
  • LPNs: $24/hour
  • Strong clinical judgment and ability to identify inconsistencies in medical documentation
  • Excellent written and verbal communication skills
  • Experience reviewing clinical documentation or conducting quality assurance
  • Ability to manage high volumes of work with accuracy
  • Reliable home office environment
  • Must have a dedicated home office — cannot work while traveling
  • Personal computer required (laptop or desktop only; no Chromebooks or tablets)
  • Must be on an up‑to‑date operating system
  • Must have or be willing to purchase a second monitor shortly after starting
  • Must be able to hardwire into the internet
  • Internet speed must exceed 20 Mbps download
  • Speed test required at: www.speedtest.net
  • A work phone will be provided
  • Drug test
  • Background check
  • Medical clearance

Nice To Haves

  • Prior remote work experience
  • Experience with quality assurance, case review, or insurance policy evaluations
  • Familiarity with state insurance guidelines
  • Knowledge of clinical documentation software

Responsibilities

  • Double‑check processed referrals and applications for accuracy
  • Confirm that the correct surgeons, specialties, and state insurance requirements were used
  • Validate whether services performed match exactly what the client requested
  • Ensure services meet required criteria, guidelines, and medical necessity standards
  • Review clinical documentation for accuracy, completeness, and clarity
  • Prepare final reports, ensuring they are professional, grammatically correct, and clinically sound
  • Provide updates and answers to clients via phone and email
  • Manage turnaround times — some cases require a quick response and strong prioritization
  • Work independently while meeting performance metrics
  • Maintain focus and productivity in a remote environment
  • Uphold a high level of confidentiality and professionalism

Benefits

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume

What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

No Education Listed

Number of Employees

501-1,000 employees

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service