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Medical QA Specialist I

2 months ago

Malvern, United States QTC Management Full time

Medical QA Specialist I - MEDIC016427 & MEDIC016344 DESCRIPTION/RESPONSIBILITIES: 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 Malvern, PA. 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) * 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 office in Malvern, PA located at 1700 Paoli Pike Malvern PA 19355 * 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 a d 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 Qualifications Skills Required Verbal CommunicationIntermediate Team PlayerIntermediate Medical DocumentationIntermediate Review Medical Reports/EvaluationsIntermediate Human Anatomy/PhysiologyAdvanced Computer LiteracyIntermediate Written CommunicationIntermediate MS OfficeIntermediate Medical TerminologyAdvanced Preferred OrganizationIntermediate Multi-line phoneSome Knowledge InterpersonalIntermediate Executing Multiple TasksIntermediate Customer ServiceIntermediate AnalyticalIntermediate Sense of UrgencyAdvanced Electronic Medical RecordsIntermediate Behaviors Preferred Team Player: Works well as a member of a group Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well Motivations Preferred Job Security: Inspired to perform well by the knowledge that your job is safe Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization Growth Opportunities: Inspired to perform well by the chance to take on more responsibility Goal Completion: Inspired to perform well by the completion of tasks Education Required GED or better. High School Diploma or better. Preferred Corpsman or better. Foreign Medical Graduate or better. Technical/other training or better in Army Practical Nursing. Technical/other training or better in Combat Medic. Technical/other training or better in HM Navy Medic. Technical/other training or better in Medical Assistant. Technical/other training or better in Vocational Nursing. Experience Required Experience with case management software, electronic medical records and medical databases Direct 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 explanation 1-2 years: Healthcare, medical, or insurance related industry experience 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 posi