Clinical Quality Assurance Coordinator

MES Solutions

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

Posted 10/3/2026full-timeRemote • Massachusetts • United StatesJuniorMid-Level💰 $27 - $29 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in quality assurance processes, clinical documentation, and compliance with federal and state mandates. Proficient in medical terminology, effective communication, and the use of Microsoft Office tools to ensure accurate and professional report generation.

Highest-signal resume keywords

Active RN/LPN Nursing LicenseQuality Assurance ReviewsMedical Terminology KnowledgeClinical Documentation AccuracyCompliance with ERISA

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality AssuranceClinical DocumentationMedical TerminologyArithmetic CalculationsTyping Speed of 40 W.P.M.Microsoft WordMicrosoft ExcelMicrosoft OutlookAnatomy and Physiology KnowledgeLaboratory Values Knowledge

Soft Skills

Exceptional Communication SkillsAbility to Work IndependentlyPrioritization SkillsAttention to DetailConfidentiality Maintenance

Tools & Technologies

ComputerFax MachineCopierScannerTelephone

Certifications & Qualifications

Active RN/LPN Nursing License

Industry Keywords

ERISA CompliancePeer ReviewClinical CitationsMedical JournalsProvider Credentials

About the role

Key responsibilities & impact

Perform quality assurance reviews of peer review reports, correspondences, addendums, and supplemental reviews
Ensure clear, concise, evidence-based rationales support recommendations and determinations
Verify client instructions, specifications, and questions have been addressed
Confirm clinical citations and references are current and from reputable medical journals or publications
Ensure report content, format, and professional appearance meet company standards
Verify appropriate board specialty review and accurate documentation
Confirm peer reviewer attestation and absence of conflicts of interest
Ensure provider credentials and signature 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 federal ERISA and state mandates
Provide management with insight into consultant quality, availability, and compliance
Promote effective and 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
Must be a graduate of an accredited nursing program or have related medical experience
Bachelor's degree preferred
Minimum of two years clinical or related field experience, or equivalent combination of education and experience
Strong knowledge of medical terminology, anatomy and physiology, medications, and laboratory values
Ability to perform arithmetic calculations involving whole numbers and decimals, 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 and respond accurately to management directions
Demonstrated accuracy and thoroughness
Exceptional communication skills
Ability to work independently, prioritize work, and use time efficiently
Ability to maintain confidentiality

Benefits

Comp & perks

Medical insurance
Vision insurance
Dental insurance
Paid time off
401(k)
Fully remote work
Monday through Friday schedule