Medical Qa Specialist I

2+ years

Not Disclosed

Philadelphia

10 Nov. 25, 2024

Job Description

Job Type: Full Time Remote Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Medical Quality Assurance (QA) Specialist

Location: Philadelphia, PA (On-site at 1617 JFK Boulevard)

About Leidos QTC Health Services

Leidos QTC Health Services is the nation's largest provider of disability and occupational health examination services. We are dedicated to making a difference for our country’s veterans by delivering high-quality, timely, and customer-focused medical examination solutions.

We honor core values of integrity, collaboration, and innovation while fostering a diverse and inclusive workplace.

Position Overview

As a Medical QA Specialist, you will be responsible for ensuring that medical records, documentation, and reports meet high standards of clarity, accuracy, and completeness. You will work closely with medical providers and the Veterans Administration to ensure the accurate delivery of Disability Benefit Questionnaires (DBQs).

Key Responsibilities

Review and Verification:
- Examine reports from medical providers for clarity, accuracy, and completeness.
- Ensure all medical coding and diagnostic testing are properly completed.
- Confirm that all required tests and medical records are present.
Collaboration:
- Coordinate with providers to clarify reports and address any discrepancies.
- Work with internal scheduling teams to arrange additional appointments as needed.
Support for the VA:
- Submit clear and concise questions to providers to resolve report inconsistencies.
- Ensure documentation meets VA standards for quality and detail.

Requirements

Minimum Qualifications:

High School diploma or GED equivalent.
1 year of experience in the healthcare, medical, or insurance-related industry.
Strong knowledge of medical terminology and human anatomy.
Experience in medical case management, medical scribing, chart audits, or quality assurance.
Ability to analyze medical reports and apply clinical reasoning.
Computer literacy, including proficiency in electronic medical records (EMR) and medical databases.
Exceptional written and verbal communication skills.

Preferred Qualifications:

Certification or vocational training in healthcare (e.g., LVN, CNA, Medical Assistant, EMT).
Experience working with military medical examinations, VA processes, or disability claims.
Familiarity with general medical documentation standards.

Work Schedule and Training

Hours: Monday to Thursday, 8:30 AM to 5 PM (on-site); Friday (remote).
Probationary Period:
- 120-day period with performance objectives and feedback to determine readiness for the role.
- Extensive training provided, including mentorship and coaching for 4-6 months.
Hybrid Schedule: Potentially available after training completion.

Compensation and Benefits

Hourly Pay: Starting at $23.10/hour.
- Increase to $23.79/hour after the probationary period (120 days).
- Increase to $24.98/hour after completing training (4-6 months post-probation).
Bonuses:
- Quarterly bonuses up to 6%.
- Annual merit increases up to 5%.
Benefits:
- Medical, dental, vision, and disability coverage.
- 401(k) plan with a 100% company match (up to 6% of salary).
- Generous paid time off (minimum 14 days/year) and 10 paid holidays.
- Tuition reimbursement and student loan assistance.
- Paid parental leave.
- Flexible spending accounts and employee assistance programs.

Why Join Us?

This role offers the opportunity to make a meaningful impact by supporting veterans while developing your skills in medical documentation and quality assurance. You'll work in a collaborative, inclusive, and ethical workplace that values professional growth and employee well-being.

Equal Opportunity Statement

Leidos QTC Health Services is an equal opportunity employer, committed to creating an inclusive workplace free of discrimination. We welcome applicants regardless of race, color, religion, sex, sexual orientation, national origin, disability, or veteran status.

Join us in making a difference for those who have served our nation!

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Medical Qa Specialist I

Job Description

Job Title: Medical Quality Assurance (QA) Specialist

About Leidos QTC Health Services

Position Overview

Key Responsibilities

Requirements

Work Schedule and Training

Compensation and Benefits

Why Join Us?

Equal Opportunity Statement

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