Medical Quality Assurance Specialist I

If you're a medical professional skilled in reviewing and interpreting medical records, driven by a passion for aiding others, we're eager to connect with you!

We are seeking a Medical Quality Assurance (QA) Specialist to support our Veteran Affairs Operations in Nashville, TN.





Who is Leidos QTC Health Services?



We are the nation’s largest provider of disability and occupational health examination services. We are PASSIONATE about our country’s veterans, UNITED as a team and INSPIRED to make a difference. To provide high-quality, timely, and customer-focused medical examination service solutions, we honor our core values of integrity, innovation, agility, collaboration, inclusion and commitment. We celebrate diverse thinking and welcome contributions from all.



What part would you play in this role?



As a Medical QA Specialist, you will work closely with medical providers and the Veterans Administration to ensure the documentation process is complete and accurate. In this role, you will review documentation sent over from medical providers and ensure the report is complete, concise, clear, and correct and the provider has accurately completed the Disability Benefit Questionnaires for delivery back to the VA.



In this rewarding role, you will:



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



You must have:



High School Diploma or equivalent (GED)



Strong knowledge and understanding of anatomy and medical terminology



Ability to read and analyze medical reports



Ability 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)



Preferred to have:



Allied medical professional certification, or relevant college, or vocational training in the medical field, i.e. LVN, CNA, Military Corpsman/Medic, EMT, MA, etc.



Experience assisting with medical tests, treatments and procedures



Knowledge of military medical examinations or experience working with the VA



Knowledge of general disability claims, workers compensation, or audits



This is a great role for:



Military Medics or Corpsmen



Medical Scribes



CNA / CCMA / LVN / LPN / RN



EMT / Paramedic



Lab Tech / Pharmacy Tech



Medical Records Analyst



Typical Day:



Mon – Fri: 8:00am – 4:30pm CST



Positions are located ONSITE at our Nashville, TN office located at 100 Centerview Drive, Suite 250 - Nashville, TN 37214



5-8 months training period that includes coaching, mentorship, and proficiency verification



Probationary period: employment as a Medical QA Specialist will include successful completion of 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 removed from the probationary period.



Pay and Benefits:



Starting Pay : $21.00 per hour with a 3% increase upon completion of the probationary period, and a 5% increase upon graduation of training



Eligible for a quarterly bonus up to 6% and annual merit increases up to 5%



The pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to): geographic location, responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law



We offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance, and we are proud to provide an employment package that attracts, develops and retains the best talent:



Starting your first day, you will have access to flexible benefits, including health and wellness programs, long and short term disability, an employee assistance program, employee referral bonuses, credit union access and flexible spending accounts



Competitive compensation and quarterly bonuses



Student Loan Assistance



Tuition reimbursement



Paid Parental Leave



A 100% company match of your pre- and post-tax contributions up to 5% of your salary, including immediate vesting of company contributions



Generous paid time off (minimum of 14 days/year), as well as 10 paid holidays



An inclusive and ethical work place



Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. As a result, we offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available .



Commitment to Diversity



This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.



This role may fall under the Service Contract Act (SCA), a federal law which provides for a U.S. Department of Labor-prescribed minimum prevailing rate of pay and certain benefit levels. Where appropriate, Company-provided benefit plans such as comprehensive leave, vacation, medical, dental, life, accident, disability coverages, retirement plan contributions, and other health and welfare benefits and payments are utilized to meet these obligations.



Leidos QTC Health Services is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and protected veteran status.



Leidos QTC Health Services is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and protected veteran status.



ExperienceRequiredExperience with case management software, electronic medical records and medical databases



Direct healthcare experience in medical case management or quality assurance to include the review of complex multi-focal medical reports for quality, clarity, thoroughness and insightful medical explanation



Less than 1 year(s): Healthcare, medical, or insurance related industry experience



BehaviorsPreferredTeam Player: Works well as a member of a group



Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well



Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities



The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)




Location: Ashland City, TN, US

Posted Date: 11/23/2024