Quality Assurance Specialist

MDpanel
$70,000 - $80,000

About The Position

The Quality Assurance Specialist will collaborate closely with physician evaluators, serving as a key resource in ensuring medical-legal reports are complete, accurate, and meet statutory requirements. This role is essential in facilitating the production of high-quality reports in a timely manner. Supported by the Triage and Transcription teams, the QA specialist will ensure reports are grammatically correct, compliant with legal standards, and processed for billing in a timely fashion.

Requirements

  • Experience with California Medical-Legal Workers' Compensation reporting is essential
  • Strong proficiency in typing, word processing, formatting, and editing
  • Advanced knowledge in all fields of medical terminology, anatomy, physiology, and pharmacology in the specialties of orthopedics, neurologists, internal medicine, ophthalmology, dentistry, and psychiatry/psychology
  • Expertise in MS Word
  • Excellent verbal and written communication skills, particularly in interactions with clinicians
  • Thorough understanding of AMA Guides (5th Edition) and California Labor codes
  • Strong ethical judgement and independent decision-making abilities, demonstrating a high degree of professional excellence
  • Must have a valid work authorization for the country in which they are applying.

Nice To Haves

  • Familiarity with AMA Guides (6th edition) is preferred but not required
  • Experience in reviewing QME, AME, and IME reports

Responsibilities

  • Review medical-legal reports following MDpanel's QA Best Practice Guidelines
  • Verify the completeness and accuracy on all Medical-Legal reports
  • Ensure all reports comply with all current CA Labor Code and Case Law changes
  • Review impairment discussions and analysis and include Almaraz/Guzman and Kite analysis where appropriate
  • Provide consultation to physicians as needed regarding findings on impairment, apportionment, temporary and permanent disability
  • Assist in preparing physicians for depositions
  • Review and assess medical records

Benefits

  • Equal Opportunity Employer
  • Commitment to creating a diverse and inclusive workplace
  • Support for associates feeling valued, respected, and supported
  • Encouragement for applicants of all backgrounds to apply
  • Accommodations available during the application or interview process
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