Quality Assurance Report Editor

at  SOMA Medical

Overview:
SOMA is looking for a Quality Assurance Editor (internally called a Quality Assurance Coordinator) to join out team onsite!
The Quality Assurance Editor assists in the daily workflow of the department, analyzes and edits medical reports, and handles quality assurance issues/questions on reports as required. This position requires a complete understanding of and ability to perform the duties outlined below; and provide overall direction and support to the Quality Assurance Department.
The schedule for this role is Monday to Friday 8:00am-4:30pm. **This role is hybrid after the training period
Qualifications:

EDUCATION AND/OR EXPERIENCE

• High school diploma or equivalent required.
• A minimum of two years clinical or related field experience; or equivalent combination of education and experience.
• Knowledge of the insurance industry preferably claims management relative to one or more of the following categories: workers’ compensation, no-fault, liability, and/or disability.

QUALIFICATIONS

• Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
• Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.
• Must be a qualified typist with a minimum of 40 W.P.M
• 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 possess excellent skills in English usage, grammar, punctuation and style.
• Ability to follow instructions and respond to upper managements’ directions accurately.
• Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
• Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
• 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.

ABOUT US:

SOMA Medical Assessmentsis a proven leader in the field of independent medical and allied health evaluations. Through our extensive and comprehensive network of accredited and experienced medical specialists, we are able to provide our customers prompt access to top-notch evaluators in all disciplines.
SOMA Medical Assessments is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, age, or any other status protected under provincial or federal laws
Tags
insurance, disability, disability management, case coordinator, workers compensation, reports editing

Responsibilities:

• Performs quality assurance review of IME reports, addendums or supplemental reviews with a keen eye for errors, omissions and inconsistencies with respect to grammar and content.
• Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
• Performs quality assurance review of IME reports and correspondence with a keen eye for errors, omissions and inconsistencies with respect to grammar and content.
• Ensures all timelines are met according to individual Client SLAs.
• Utilizes appropriate tools and resources, as needed, to achieve expected goals within the required timeframes.
• Communicates with intake and med-doc departments to ensure clarity of referral information and supplementary documentation.
• Communicates with assessors in regards to edits requests, report timelines, and additional records, among others while maintaining an objective and unbiased approach.
• Arranges teleconferences with assessors in multidisciplinary assessment cases in order to facilitate discussion of findings with respect to scope.
• Performs customer service by consulting with referral source as necessary to clarify referral needs, request additional information, provide case status updates, etc.
• Assists in resolution of customer complaints and quality assurance issues as needed.
• Maintains documentation of all case related correspondence.

• Performs quality assurance review of IME reports, addendums or supplemental reviews with a keen eye for errors, omissions and inconsistencies with respect to grammar and content.
• Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
• Performs quality assurance review of IME reports and correspondence with a keen eye for errors, omissions and inconsistencies with respect to grammar and content.
• Ensures all timelines are met according to individual Client SLAs.
• Utilizes appropriate tools and resources, as needed, to achieve expected goals within the required timeframes.
• Communicates with intake and med-doc departments to ensure clarity of referral information and supplementary documentation.
• Communicates with assessors in regards to edits requests, report timelines, and additional records, among others while maintaining an objective and unbiased approach.
• Arranges teleconferences with assessors in multidisciplinary assessment cases in order to facilitate discussion of findings with respect to scope.
• Performs customer service by consulting with referral source as necessary to clarify referral needs, request additional information, provide case status updates, etc.
• Assists in resolution of customer complaints and quality assurance issues as needed.
• Maintains documentation of all case related correspondence