DBQ Reviewer I

DBQ Reviewer I – Remote

Work Timing: 9 AM EST to 5:30 PM EST (Monday - Friday) 8-hour Shift

Note: The first 6 weeks consist of a mandatory training period being held Monday through Friday from 9am EST to 5:30pm EST. Training is conducted via zoom and requires daily on-screen participation in your personal workspace with a strong internet connection. Attendance is mandatory for graduation. Participants MUST always remain on camera for the entirety of training period each day. Professional attire is always expected with no background distractions or interruptions.

Overview:

The DBQ Reviewer will collaborate with medical professionals to support the completeness and accuracy of complex medical documentation and examination processes. They will confirm that the veteran has been examined for all medical issues listed, the medical provider has utilized the appropriate reporting form, and documentation is completed in accordance with established standards.

Key Responsibilities:

· Review Medical Reports: Examine complex medical exam reports for completeness and accuracy, as well as adherence to VA guidelines.

· Documentation and Escalation: Identify and document quality issues, escalating to management as necessary.

· Provider Interaction: Work closely with healthcare providers to deliver report-specific feedback and assist with revising medical exam reports.

· Complex Case Review: Handle more complex cases that may be escalated

· Productivity & Quality: Meet individual productivity targets while maintaining a high degree of review quality, as measured by internal quality audits.

· Policy Adherence: Stay up to date on Standard Operating Procedures (SOPs) and policies.

· Other Duties: Perform additional tasks as assigned.

Qualifications & Skills:

Education:

· Bachelor's degree preferred

· High school diploma or equivalent required

Experience:

· Minimum 1 year in the medical field as a Scribe, Military Corpsman/Medic, or Certified Medical Assistant, biller/coder; OR

· Minimum 1 year of relevant professional experience as a Quality Analyst in a healthcare setting; OR

· At least 6 months of experience conducting QA reviews of DBQs according to VA and MDE requirements.

Skills:

· Deep knowledge of medical terminology, medical conditions, and quality assurance methodologies

· Strong written and oral communication and comprehension skills

· Proficient with computers (Knowledge of Microsoft tools)

· Excellent analytical, problem-solving, and decision-making capabilities

· Ability to thrive in a fast-paced environment