Quality Specialist

Allen Spolden•New Orleans, LA

60d

About The Position

Allen Spolden is looking for a Quality Specialist 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

RN, NP, PA, DO, or MD background is preferred (any combination of experience in Legal/Medical fields)
Possess a strong clinical background with oncology experience preferred
Proficient understanding of medical terminology, anatomy and physiology, medications and laboratory tests with the ability to explain a medical condition or diagnosis
Medical record review and chronology drafting experience is preferred
Previous legal experience in Plaintiff product liability, defective drugs, or personal injury is a plus
Demonstrate a high level of professionalism with confidential and sensitive information
Superior research, analytical, organizational, and critical thinking skills
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
Excellent interpersonal, customer service, verbal, and written communication skills
Ability to work independently and in a team environment
Proficiency with Microsoft office tools
Knowledge of Spanish language is a plus
Bachelor's Degree preferred

Nice To Haves

RN, NP, PA, DO, or MD background is preferred (any combination of experience in Legal/Medical fields)
Possess a strong clinical background with oncology experience preferred
Medical record review and chronology drafting experience is preferred
Previous legal experience in Plaintiff product liability, defective drugs, or personal injury is a plus
Knowledge of Spanish language is a plus
Bachelor's Degree preferred

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, 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