Quality Assurance Specialist

3 days ago

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California Medical Evaluators

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QME Practice Management • AME/QME/IME • Fitness for Duty Evaluations • Disability Evaluations • Deposition Preparation

51 - 200 employees

⚕️ Healthcare Insurance

💰 $6.4M Private Equity Round on 2017-03

Description

• Collaborate closely with physician evaluators to ensure medical-legal reports are complete and accurate. • Facilitate the production of high-quality reports in a timely manner. • Review medical-legal reports following MDpanel's QA Best Practice Guidelines. • Verify the completeness and accuracy on all Medical-Legal reports. • Ensure all reports comply with all current CA Labor Code and Case Law changes. • Review impairment discussions and analysis and include Almaraz/Guzman and Kite analysis where appropriate. • Provide consultation to physicians as needed regarding findings on impairment, apportionment, temporary and permanent disability. • Assist in preparing physicians for depositions. • Review and assess medical records.

Requirements

• Experience with California Medical-Legal Workers' Compensation reporting is essential • Strong proficiency in typing, word processing, formatting, and editing • Advanced knowledge in all fields of medical terminology, anatomy, physiology, and pharmacology in the specialties of orthopedics, neurologists, internal medicine, ophthalmology, dentistry, and psychiatry/psychology • Expertise in MS Word • Excellent verbal and written communication skills, particularly in interactions with clinicians • Thorough understanding of AMA Guides (5th Edition) and California Labor codes • Familiarity with AMA Guides (6th edition) is preferred but not required • Experience in reviewing QME, AME, and IME reports • Strong ethical judgment and independent decision-making abilities, demonstrating a high degree of professional excellence