Quality Assurance Specialist

Posted 3hrs ago

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Job Description

Quality Assurance Specialist reviewing California medical-legal reports for completeness, accuracy, and statutory compliance. Supporting physicians and timely billing for MDpanel’s U.S. medical opinion marketplace.

Responsibilities:

  • Collaborate with physician evaluators to ensure medical-legal reports are complete, accurate, and meet statutory requirements
  • Review medical-legal reports according to MDpanel's QA Best Practice Guidelines
  • Verify the completeness and accuracy of all medical-legal reports
  • Ensure reports comply with current California Labor Code and case law changes
  • Review impairment discussions and analysis, including Almaraz/Guzman and Kite analysis where appropriate
  • Consult physicians regarding impairment, apportionment, temporary disability, and permanent disability findings
  • Assist in preparing physicians for depositions
  • Review and assess medical records
  • Work with Triage and Transcription teams to ensure reports are grammatically correct, legally compliant, and processed for billing promptly

Requirements:

  • Experience with California Medical-Legal Workers' Compensation reporting is essential
  • Strong proficiency in typing, word processing, formatting, and editing
  • Advanced knowledge of medical terminology, anatomy, physiology, and pharmacology in orthopedics, neurology, 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 reviewing QME, AME, and IME reports
  • Strong ethical judgement and independent decision-making abilities
  • Valid work authorization for the country in which applying
  • Sponsorship assistance is unavailable

Benefits:

  • Equal Opportunity Employer
  • Accommodations during the application or interview process
  • Diverse and inclusive workplace where associates feel valued, respected, and supported