Quality Specialist, Medical QC

Torticity•Boca Raton, FL

10d•$70,000 - $75,000•Hybrid

About The Position

Torticity is looking for a Quality Specialist, Medical QC with strong interpersonal, communication, time management, and organizational skills who will be highly motivated, accountable, and self-directed. This critical position includes a variety of quality control tasks, including case and medical record review. The ideal candidate will excel at maintaining high-quality standards by inspecting the accuracy of data and records, while ensuring that review agents uphold criteria and follow the assigned tasks and processes.

Requirements

Valid RN or NP License.
5+ years of experience in a clinical setting.
Strong clinical knowledge with inpatient experience.
Experience with ERP systems (e.g., NetSuite, SAP, or similar).
Experience with Microsoft 365, Outlook, Google Sheets, and PowerPoint.
Ability to work independently and manage multiple priorities in a fast-paced environment.
Proficient understanding of medical terminology, anatomy and physiology, medications and laboratory tests, and disease processes with the ability to explain a medical condition or diagnosis.
Exceptional writing skills with the ability to prepare detailed, accurate, and compelling case documentation.
Excellent organization, problem-solving, and critical-thinking skills to meet high demands
Ability to work on complex projects with general direction and minimal guidance.
Highly self-motivated with the ability to multitask and prioritize workload, with the flexibility to pivot to different projects with little notice.
Ability to work independently and in a team environment.

Nice To Haves

Medical record review and chronology drafting experience.
Advanced technology data extraction experience.
Previous legal experience in Plaintiff product liability, defective drugs, or personal injury.
Knowledge of Spanish language.
Bachelor's Degree.
Experience in pediatric and adult care and/or oncology.

Responsibilities

Evaluate medical record chronologies, ensuring that content is correct and complete.
Perform quality control audits to ensure accuracy across each function.
Analyze case reviews, investigate missing information, and document next steps.
Track and report errors and inconsistencies, and provide recommendations to rectify.
Maintain audit log and communicate results with Manager.
Recommend cases for approval or discharge.
Assist the Quality Manager with developing, implementing, and maintaining systems and procedures.
Continually evaluate processes and procedures and make suggestions for improvement.
Maintain a confidential, HIPAA-compliant environment.
Communicate with other departments ensuring fluid movement of a case.
Other duties as assigned.