Clinical Quality Assurance Coordinator - Lead (31946)

Job description

Job DetailsJob Location: Atlanta, GA 30305Position Type: Full TimeTravel Percentage: NoneThe Clinical Quality Assurance Coordinator Lead is responsible to assist in the daily workflow of the department, analyze medical records and handle quality assurance questions on medical necessity, utilization review and review files. This position is required to have a complete understanding of the duties required below and helps provide overall direction and support to the Quality Assurance Department. Hours: Monday - Friday 8:30AM - 5:00PM ESSENTIAL JOB FUNCTIONS: Provide overall support to the department and assist in the daily distribution of work and ensure all timelines are met and operations are run in the most effective and efficient way possible. Perform quality assurance review of reports, correspondences and addendums or supplemental review. Conduct concurrent medical record review using specific indicators and criteria in accordance with company policy and procedures. Promote effective and efficient utilization of all clinical resources and make necessary recommendations for improvements to management as needed. Utilize resources to achieve expected goal within the required timefr...