What are the responsibilities and job description for the Clinical Reviewer and QA Specialist position at Exact Billing Solutions?
Job Description
We are seeking a skilled Clinical Reviewer and QA Specialist to join our Utilization Review team at Exact Billing Solutions. As a Clinical Reviewer, you will be responsible for reviewing and evaluating treatment plans to ensure they meet the highest standards of quality and compliance.
As a QA Specialist, you will be involved in quality improvement initiatives, analyzing treatment plan trends, identifying gaps in services, and suggesting modifications to improve care outcomes. Your expertise in utilization review, quality assurance, or case management will be invaluable in helping us deliver high-quality services that meet regulatory requirements and exceed client expectations.
- Key Responsibilities:
- Review and evaluate treatment plans for quality and accuracy
- Collaborate with clinical staff to provide education and support on treatment plan development and documentation requirements
- Participate in quality improvement initiatives to identify areas for improvement and implement changes to enhance care outcomes
