Note: The job is a remote job and is open to candidates in USA. MCMC Services, LLC is seeking a talented Clinical Quality Assurance Coordinator to join their growing team. In this fully remote role, you will dive into medical records, pulling out key details and crafting detailed narrative summaries to support the quality assurance process.
Responsibilities
- Dive into medical records, pulling out key details and crafting detailed narrative summaries
Skills
- High school diploma or equivalent required
- A minimum of two years clinical or related field experience; or equivalent combination of education and experience preferred
- Knowledge of the insurance industry, preferably claims management relative to one or more of the following categories: workers' compensation, no-fault, liability, or disability preferred
- LPN/LVN/RN may be required based on business needs
- Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values
- Must be a qualified typist with a minimum of 40 W.P.M
- Must have a full understanding of HIPAA regulations and compliance
- Must be able to operate a general computer, fax, copier, scanner, and telephone
- Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet
- Must demonstrate exceptional communication skills
- Ability to follow instructions and respond to upper managements' directions accurately
- Must demonstrate accuracy and thoroughness. Look for ways to improve and promote quality and monitors own work to ensure quality is met
- Must be able to work independently, prioritize work activities and use time efficiently
- Must be able to maintain confidentiality
- Must be able to demonstrate and promote a positive team-oriented environment
- Must be able to stay focused and concentrate under normal or heavy distractions
- Must be able to work well under pressure and or stressful conditions
- Must possess the ability to manage change, delays, or unexpected events appropriately
- Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time
Benefits
- 100% Remote – Work from where you're most comfortable - home!
- Flexible Hours – Monday-Friday. Start your day between 11:30am EST, and end at 8:00pm EST.
- At MCMC, we’re an employee-first company offering fantastic benefits and incredible growth opportunities.
Company Overview
MCMC’s Independent Peer Review program compliments your appeal, claims, prior-auth, utilization, and case management programs by providing the comprehensive physician expertise and driven service delivery you need to meet industry and regulatory standards for medical review. It was founded in 1988, and is headquartered in Quincy, Massachusetts, USA, with a workforce of 501-1000 employees. Its website is http://www.mcmcllc.com.