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About the Role
The Medical Reports Reviewer (Quality Assurance Coordinator) ensures reports meet the highest standards of quality and integrity, complying with client agreements, regulatory standards, and mandates. This role supports the Quality Assurance Department by handling quality assurance questions and providing overall assistance.
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 adherence to client instructions and specifications, ensuring all questions are addressed.
- Confirm each review is supported by current clinical citations and references from reputable sources.
- Maintain the highest quality and professional appearance of reports, ensuring compliance with company standards.
- Verify appropriate board specialty review and accurate documentation on case reports.
- Confirm peer reviewer attestation to facts and absence of conflict 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/or state mandates.
- Provide management with insights on consultant quality, availability, and compliance.
- Promote effective and efficient utilization of company resources.
- Participate in required educational and training activities.
Requirements
- High school diploma or equivalent required.
- Regulated health practitioner highly preferred (especially kinesiologist or chiropractor).
- Two years of 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, physiology, medications, and laboratory values.
- Knowledgeable of multiple software programs, including Microsoft Word, Outlook, Excel, and the Internet.
- Excellent English usage, grammar, punctuation, and style.
- Demonstrate accuracy and thoroughness.
- Ability to improve and promote quality and monitor own work for quality.
- Exceptional communication skills, including conveying 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 proficiency
- English usage
- Grammar
- Punctuation
- Style
- Accuracy
- Thoroughness
- Quality assurance
- Communication
- Confidentiality
- Teamwork
Location
- Toronto, ON
Work Type
- Hybrid
- Full-Time
- Part-Time
Experience Level
- Two years IME or medical experience preferred
Education Level
- High school diploma or equivalent
Salary/Compensations
- $25.00 - $28.00 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 for liability, medical malpractice, plaintiff, or defense counsel.
- In the employment and insurance sector, NYRC assists in facilitating 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.