Job Details

A company is looking for a Clinical Quality Assurance Coordinator to ensure the quality and compliance of peer review reports.Key ResponsibilitiesPerform quality assurance reviews of peer review reports and ensure compliance with client specificationsVerify that clinical citations are current and from reputable sources, and address any inconsistencies in reportsAssist in resolving client complaints and provide insights on consultant quality and complianceRequired QualificationsHigh school diploma or equivalent with at least two years of clinical or related field experienceExperience in peer review, clinical documentation review, or medical necessity assessmentsFamiliarity with CMS guidelines and payer policiesStrong knowledge of medical terminology, anatomy, and physiologyAbility to operate various software programs, including Microsoft Word and Excel