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About the Role
The Medical Reports Reviewer (Quality Assurance Coordinator) ensures reports meet the highest standards of quality, integrity, and compliance with client agreements, regulatory standards, and mandates. This role provides support to the Quality Assurance Department by handling quality assurance questions.
Responsibilities
- Perform quality assurance review of reports, correspondences, addendums, or supplemental reviews.
- Ensure clear, concise, evidence-based rationales support all recommendations and/or determinations.
- Verify client instructions and specifications are followed and all questions are addressed.
- Ensure each review is supported by current clinical citations and references from reputable sources.
- Maintain the highest quality and professional appearance of reports in compliance with company standards.
- Confirm appropriate board specialty review and accurate documentation on case reports.
- Verify peer reviewer attestations to facts and absence of conflicts of interest.
- Ensure provider credentials and signature are on the final report.
- Identify report inconsistencies and contact the provider for clarification or correction.
- Assist in resolving customer complaints and quality assurance issues.
- Ensure adherence to all federal ERISA and state mandates.
- Provide insights to management on consultant quality, availability, and compliance.
- Promote effective and efficient utilization of company resources.
- Participate in educational and training activities as required.
Requirements
- High school diploma or equivalent required.
- Regulated health practitioner highly preferred (especially kinesiologist or chiropractor).
- Two years IME or medical experience preferred.
- Knowledge of the insurance industry, preferably claims management related to IME, workers' compensation, no-fault, liability, and/or disability.
- Strong knowledge of medical terminology, anatomy and physiology, medications, and laboratory values.
- Knowledgeable of multiple software programs, including Microsoft Word, Outlook, Excel, and the Internet.
- Excellent skills in English usage, grammar, punctuation, and style.
- Demonstrate accuracy and thoroughness.
- Monitor own work to ensure quality is met.
- Demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively, and asking clarifying questions.
- Ability to maintain confidentiality.
- Ability to demonstrate and promote a positive team-oriented environment.
Skills
- Medical terminology
- Anatomy and physiology
- Medications
- Laboratory values
- Microsoft Word
- Microsoft Outlook
- Microsoft Excel
- Internet navigation
- English usage
- Grammar
- Punctuation
- Style
- Accuracy
- Thoroughness
- Quality assurance
- Communication
- Confidentiality
- Teamwork
Location
- Toronto, ON
Work Type
- Hybrid
- Full-Time
- Part-Time
Experience Level
- 2 years IME or medical experience preferred
Education Level
- High school diploma or equivalent
- Regulated health practitioner highly preferred
Salary/Compensations
- $25.00 - $27.00 Hourly
About the Company
- NYRC is one of Canada’s leading providers of independent medical assessments.
- NYRC provides services to the legal community, insurers, and employers.
- In the medical-legal sector, NYRC provides unbiased medical reports across liability, medical malpractice, plaintiff, and defense counsel.
- In the employment and insurance sector, NYRC facilitates healthy employees and satisfied plan members through timely diagnosis, pro-active objective treatment recommendations, and evidentiary opinion on return to work.
Equal Opportunity
- NYRC is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin.