Clinical Quality Assurance Coordinator

ExamWorks

. Perform quality assurance reviews of peer review reports, correspondence, addendums, and supplemental reviews .

Posted 9/24/2026full-timeRemote • Wisconsin • United StatesJuniorMid-Level💰 $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in quality assurance processes, ensuring compliance with ERISA and state mandates while maintaining high standards in clinical documentation and peer review. Proficient in medical terminology and capable of effectively managing customer complaints and quality assurance issues.

Highest-signal resume keywords

Active RN/LPN Nursing LicenseQuality Assurance ReviewsMedical Terminology KnowledgeClinical ExperienceMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality AssuranceClinical DocumentationMedical TerminologyArithmetic CalculationsTyping Speed (40 W.P.M.)

Soft Skills

Attention to DetailIndependent WorkTime ManagementConfidentiality Maintenance

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft OutlookFax MachineScanner

Certifications & Qualifications

Active RN/LPN Nursing License

Industry Keywords

ERISA CompliancePeer ReviewClinical CitationsProvider CredentialsCase Reports

About the role

Key responsibilities & impact

Perform quality assurance reviews of peer review reports, correspondence, addendums, and supplemental reviews
Ensure clear, concise, evidence-based rationales support recommendations and determinations
Verify client instructions, specifications, questions, clinical citations, references, report quality, and company standards are satisfied
Confirm appropriate board specialty review and accurate documentation in case reports
Verify peer reviewer attestations and absence of conflicts of interest
Ensure provider credentials and signatures are included in final reports
Identify report inconsistencies and contact peer reviewers for clarification or correction
Assist with customer complaints and quality assurance issues
Ensure compliance with ERISA, state mandates, client specifications, and company policies
Advise management on consultant quality, availability, and compliance
Promote efficient use of company resources
Participate in required educational and training activities
Perform other assigned duties

Requirements

What you’ll need

Active RN/LPN nursing license required
Graduate of an accredited nursing program or related medical experience
Minimum of two years clinical or related field experience, or equivalent combination of education and experience
Bachelor's degree preferred
Strong knowledge of medical terminology, anatomy and physiology, medications, and laboratory values
Ability to perform arithmetic calculations involving whole numbers and decimals and compute rates and percentages
Qualified typist with a minimum of 40 W.P.M.
Ability to operate a computer, fax, copier, scanner, and telephone
Knowledge of Microsoft Word, Outlook, Excel, and the Internet
Excellent English usage, grammar, punctuation, and style
Ability to follow instructions accurately
Ability to work independently, prioritize work, and use time efficiently
Ability to maintain confidentiality

Benefits

Comp & perks

Fully remote work
Medical, vision, and dental benefits
Paid time off
401k
No travel required