Medical Quality Assurance Specialist I- San Antonio, TX

Medical Quality Assurance Specialist I - San Antonio, TX

Attention Military Affiliated Job Seekers: Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please follow the next steps.

Primary Responsibilities:

• Review and audit exam reports sent over from medical providers
• Ensure all medical coding is complete and accurate
• Ensure all tests have been ordered and completed, and present in the medical record
• Coordinate with medical providers as needed for clarification of reports
• Work with our in-house appointment schedules to request additional appointments for the veteran as necessary

Required Qualifications:

• Experience with case management software, electronic medical records and medical databases
• Direct healthcare experience in medical case management or quality assurance
• High School Diploma or equivalent (GED)
• 0 to 1 year of experience in healthcare, medical, or insurance related industries
• Strong knowledge and understanding of anatomy and medical terminology
• Ability to read and analyze medical reports
• Aptitude to apply clinical reasoning (diagnostic testing)
• Ability to write clear questions to submit to the provider
• Experience working with medical providers (credentialing, medical coding, chart audits, triage, scribe, nursing)
• Understanding of case management software, electronic medical records and medical databases
• Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation

Preferred Qualifications:

• Allied medical professional certification, or relevant college, or vocational training in the medical field
• Direct healthcare experience in medical case management or quality assurance
• Experience assisting with medical tests, treatments and procedures
• Ability to read and analyze medical reports
• Aptitude to apply clinical reasoning (diagnostic testing)
• Ability to write clear questions to submit to the provider
• Knowledge of military medical examinations or experience working with the VA
• Understanding of general disability claims, workers compensation, or audits

Additional Information:

• Training: Onsite at our San Antonio, TX office located at 4400 N.W. Loop 410, Ste. 500
• Shift: Monday Friday from 8:00 AM 4:30 PM
• Probationary Period: Employment as a Medical Quality Assurance Specialist I will include successful completion of a 120-day probationary period during which you will be given objectives to achieve. This timeframe lets you assess your readiness for the position as well as allows Leidos QTC Health Services to determine your ability to successfully perform the job. You will be provided objectives, documentation, training and performance feedback during the 120-day probationary period as part of your assimilation to the role. After successfully completing the 120-day probationary period, you will be considered a permanent employee