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Medical Quality Assurance Specialist I

3 months ago

Philadelphia, United States QTC Management, Inc. Full time

If you're a medical professional skilled in reviewing and interpreting medical records, driven by a passion for aiding others, we're eager to connect with you
We are seeking a Medical Quality Assurance (QA) Specialist to support our Veteran Affairs Operations in Philadelphia, PA. 
 
 Who is Leidos QTC Health Services?
We are the nation’s largest provider of disability and occupational health examination services. We are PASSIONATE about our country’s veterans, UNITED as a team and INSPIRED to make a difference. To provide high-quality, timely, and customer-focused medical examination service solutions, we honor our core values of integrity, innovation, agility, collaboration, inclusion and commitment. We celebrate diverse thinking and welcome contributions from all.
What part would you play in this role?
As a Medical QA Specialist, you will work closely with medical providers and the Veterans Administration to ensure the documentation process is complete and accurate. In this role, you will review documentation sent over from medical providers and ensure the report is complete, concise, clear, and correct and the provider has accurately completed the Disability Benefit Questionnaires for delivery back to the VA.
In this rewarding role, you will:

Review and audit exam reports sent over from medical providers
Ensure all medical coding is complete and accurate
Ensure all tests have been ordered and completed, and present in the medical record
Coordinate with medical providers as needed for clarification of reports
Work with our in house appointment schedules to request additional appointments for the veteran as necessary


Learn more from one of current QA's here

You must have:

High School diploma, or equivalent (GED) or 2 years’ experience in lieu
Strong knowledge and understanding of anatomy and medical terminology
Ability to read and analyze medical reports
Ability to apply clinical reasoning (diagnostic testing)
Ability to write clear questions to submit to the provider
Experience working with medical providers (credentialing, medical coding, chart audits, triage, scribe, nursing)

Preferred to have:

Allied medical professional certification, or relevant college, or vocational training in the medical field, i.e. LVN, CNA, Military Corpsman/Medic, EMT, MA, etc.
Experience assisting with medical tests, treatments and procedures 
Knowledge of military medical examinations or experience working with the VA
Knowledge of general disability claims, workers compensation, or audits

This is a great role for:

Military Medics or Corpsmen
Medical Scribes
CNA / CCMA / LVN / LPN / RN
EMT / Paramedic
Lab Tech / Pharmacy Tech
Medical Records Analyst

Typical Day:

Mon – Fri: 8:30am – 5pm EST
Positions are located ONSITE at our Philadelphia, PA located 1617 JFK Boulevard

4-6 months of coaching, foundational, and mentorship training


Employment as a QA will include successful completion of a 120-day probationary period during which you will be given objectives to achieve. This timeframe lets you assess your readiness for the position as well as allows Leidos QTC Heath Services to determine your ability to successfully perform the job. You will be provided objectives, documentation, training and performance feedback during the 120-day probationary period as part of your assimilation to the role. After successfully completing the 120-day probationary period, you will be considered a permanent employee.

Pay and Benefits:

Starting pay: $23.10 per hour with a 3% increase upon completion of the probationary period, and a 5% increase upon graduation of training 
Eligible for a quarterly bonus up to 6% and annual merit increases

Leidos QTC Health Services pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to): geographic location, responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law
We offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance, and we are proud to provide an employment package that attracts, develops and retains the best talent:

Starting your first day at Leidos QTC Health Services, access to flexible benefits, including health and wellness programs, long and short term disability, an employee assistance program, employee referral bonuses, credit union access and flexible spending accounts
Competitive compensation and quarterly bonuses
Student Loan Assistance
Tuition reimbursement
Paid Parental Leave
A 100% company match of your pre- and post-tax contributions up to 5% of your salary, including immediate vesting of company contributions
Generous paid time off (minimum of 14 days/year), as well as 10 paid holidays
An inclusive and ethical work place

Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. As a result, we offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available here.
 
Commitment to Diversity
This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.
Leidos QTC Health Services is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and  protected veteran status.
 ExperienceRequiredExperience with case management software, electronic medical records and medical databasesDirect healthcare experience in medical case management or quality assurance to include the review of complex multi-focal medical reports for quality, clarity, thoroughness and insightful medical explanationLess than 1 year(s): Healthcare, medical, or insurance related industry experienceEducationRequiredGED or betterHigh School Diploma or betterPreferredTechnical/other training or better in HM Navy MedicTechnical/other training or better in Army Practical NursingTechnical/other training or better in Vocational NursingTechnical/other training or better in Combat MedicTechnical/other training or better in Medical AssistantForeign Medical Graduate or betterCorpsman or betterSkillsRequiredVerbal CommunicationTeam PlayerMedical DocumentationHuman Anatomy/PhysiologyComputer LiteracyWritten CommunicationMS OfficeMedical TerminologyPreferredOrganizationMulti-line phoneInterpersonalExecuting Multiple TasksCustomer ServiceAnalyticalReview Medical Reports/EvaluationsSense of UrgencyElectronic Medical RecordsBehaviorsPreferredTeam Player: Works well as a member of a groupDetail Oriented: Capable of carrying out a given task with all details necessary to get the task done wellMotivationsPreferredJob Security: Inspired to perform well by the knowledge that your job is safeAbility to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organizationGrowth Opportunities: Inspired to perform well by the chance to take on more responsibilityGoal Completion: Inspired to perform well by the completion of tasksEqual Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)