Quality Specialist

Quality Specialist

The Role: Allen Spolden is looking for a Quality Specialist with strong interpersonal, communication, time management, and organizational skills who will be highly motivated, accountable, and self-directed. This critical position includes a variety of quality control tasks including case and medical record review. The ideal candidate will excel at maintaining high quality standards by inspecting the accuracy of data and records, while ensuring that review agents uphold criteria and follow the assigned tasks and processes. Specific Responsibilities Include:

• Evaluate medical record chronologies, ensuring that content is correct and complete
• Perform quality control audits to ensure accuracy across each function
• Analyze case reviews, investigate missing information, and document next steps
• Track and report errors and inconsistencies, provide recommendations to rectify
• Maintain audit log and communicate results with Manager
• Recommend cases for approval or discharge
• Assist the Quality Manager with developing, implementing, and maintaining systems and procedures
• Continually evaluate processes and procedures and make suggestions for improvement
• Maintain a confidential, HIPAA compliant environment

Requirements:

• RN, NP, PA, DO, or MD background is preferred (any combination of experience in Legal/Medical fields)
• Possess a strong clinical background with oncology experience preferred
• Proficient understanding of medical terminology, anatomy and physiology, medications and laboratory tests with the ability to explain a medical condition or diagnosis
• Medical record review and chronology drafting experience is preferred
• Previous legal experience in Plaintiff product liability, defective drugs, or personal injury is a plus
• Demonstrate a high level of professionalism with confidential and sensitive information
• Superior research, analytical, organizational, and critical thinking skills
• Ability to work on complex projects with general direction and minimal guidance
• Highly self-motivated with the ability to multitask and prioritize workload with the flexibility to pivot to different projects with little notice
• Excellent interpersonal, customer service, verbal, and written communication skills
• Ability to work independently and in a team environment
• Proficiency with Microsoft office tools
• Knowledge of Spanish language is a plus
• Bachelor's Degree preferred

Benefits: Dental, Medical, Vision and 401K