Peer/Record Review Quality Analyst
New
Based in United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
- Required Skills
- DocumentationQuality Assurance
Requirements
- Associate’s or Bachelor’s degree preferred.
- Experience in healthcare, insurance, or a related regulated business environment is preferred.
- Strong familiarity with technology-driven workflows and digital documentation systems.
- Excellent written and verbal communication skills.
- Ability to engage confidently with physicians and clients.
- Strong attention to detail, critical thinking ability, and commitment to high-quality output.
- Effective time management skills with the ability to meet strict deadlines.
- Proficiency in computer tools and strong typing and documentation skills.
- Ability to work independently in a remote environment while maintaining strong collaboration with distributed teams.
Responsibilities
- Review completed peer review reports and associated medical records to ensure all client questions have been fully and accurately addressed.
- Validate report completeness, grammatical accuracy, formatting standards, and adherence to internal QA checklists.
- Communicate with clinical reviewers to request clarifications, corrections, or additional information when needed.
- Liaise with clients to provide updates, clarify findings, and ensure satisfaction with review outputs.
- Ensure timely progression of referrals by tracking, following up, and maintaining clear communication across stakeholders.
- Format and prepare finalized reports for approval and delivery to clients.
- Support continuous quality improvement by identifying recurring issues and contributing to process enhancements.
- Collaborate closely with operations teams to maintain consistency and efficiency across review workflows.
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