About The Company
Healthcare Quality Strategies, Inc. (HQSI) is a leading organization dedicated to enhancing healthcare quality and ensuring compliance within the medical review industry. With a commitment to providing exceptional medical review services, HQSI supports health plans, providers, and other stakeholders by delivering accurate, timely, and compliant case assessments. The company emphasizes a collaborative work environment, innovative solutions, and a strong focus on integrity and confidentiality. HQSI's mission is to improve healthcare outcomes through meticulous review processes while maintaining the highest standards of professionalism and ethical conduct. The organization values diversity, inclusion, and equal opportunity, fostering a workplace where all employees can thrive and contribute meaningfully to the healthcare community.
About The Role
The Medical Review Services Coordinator at HQSI plays a vital role in supporting the company’s medical review operations by managing case intake, documentation, and assignment processes. This remote position involves coordinating case workflows, ensuring accurate and timely completion of reviews, and maintaining high standards of customer service for internal teams and external clients. The role requires a detail-oriented professional with excellent organizational skills, proficiency in healthcare terminology, and experience with document and case management systems. The coordinator will work closely with physicians, nurses, and other healthcare professionals to facilitate smooth case processing, monitor deadlines, and generate reports to support operational efficiency. Flexibility to adapt to changing work environments, including potential on-site responsibilities in the future, is essential. This position offers an opportunity to contribute to a mission-driven organization committed to healthcare excellence and quality improvement.
Qualifications
Healthcare Quality Strategies, Inc. is an equal opportunity employer committed to creating a diverse and inclusive workplace. We prohibit discrimination and harassment of any kind based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. We welcome applicants from all backgrounds and provide equal employment opportunities to ensure a fair and respectful work environment for everyone.
Healthcare Quality Strategies, Inc. (HQSI) is a leading organization dedicated to enhancing healthcare quality and ensuring compliance within the medical review industry. With a commitment to providing exceptional medical review services, HQSI supports health plans, providers, and other stakeholders by delivering accurate, timely, and compliant case assessments. The company emphasizes a collaborative work environment, innovative solutions, and a strong focus on integrity and confidentiality. HQSI's mission is to improve healthcare outcomes through meticulous review processes while maintaining the highest standards of professionalism and ethical conduct. The organization values diversity, inclusion, and equal opportunity, fostering a workplace where all employees can thrive and contribute meaningfully to the healthcare community.
About The Role
The Medical Review Services Coordinator at HQSI plays a vital role in supporting the company’s medical review operations by managing case intake, documentation, and assignment processes. This remote position involves coordinating case workflows, ensuring accurate and timely completion of reviews, and maintaining high standards of customer service for internal teams and external clients. The role requires a detail-oriented professional with excellent organizational skills, proficiency in healthcare terminology, and experience with document and case management systems. The coordinator will work closely with physicians, nurses, and other healthcare professionals to facilitate smooth case processing, monitor deadlines, and generate reports to support operational efficiency. Flexibility to adapt to changing work environments, including potential on-site responsibilities in the future, is essential. This position offers an opportunity to contribute to a mission-driven organization committed to healthcare excellence and quality improvement.
Qualifications
- Minimum high school diploma or GED; some college or vocational training preferred
- At least 3 years of experience in a healthcare office setting (e.g., health insurance, physician’s office, hospital, outpatient setting)
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, Adobe) and familiarity with database and document management software
- Knowledge of medical terminology and healthcare documentation processes
- Understanding of HIPAA/HITECH compliance and confidentiality standards
- Strong organizational and multitasking skills
- Excellent written and verbal communication abilities
- Experience in customer service, both internal and external
- Ability to work effectively in remote and office environments
- Calendar and email management skills
- Basic report generation and data analysis capabilities
- Scan, log, and organize incoming paper and electronic charts for review
- Assess submitted cases for documentation completeness and prepare them for review assignment
- Assign cases to Non-Physician Reviewers (NPRs), Physician Reviewers (PRs), and allied healthcare professionals
- Monitor case progress, ensuring adherence to deadlines and quality standards
- Draft final determination letters and proofread documents for accuracy and clarity
- Track receipt and completion of Conflict of Interest statements from reviewers
- Generate and evaluate workflow reports to manage case volume, resource allocation, and timeliness
- Coordinate with internal teams and external contacts via email and phone to facilitate case processing
- Assist with credentialing activities and physician recruitment outreach as needed
- Monitor multiple contract mailboxes and respond to inquiries promptly
- Maintain accurate records of case statuses, communications, and documentation
- Support continuous process improvements and compliance initiatives within the department
- Medical, Dental, and Vision insurance coverage
- Flexible Spending Account (FSA) and Health Savings Account (HSA)
- Group life and accidental death & dismemberment (AD&D) insurance
- Voluntary life and AD&D insurance options
- 401(k) retirement savings plan with company matching
- Opportunities for professional development and growth
- Supportive remote work environment with flexible scheduling options
Healthcare Quality Strategies, Inc. is an equal opportunity employer committed to creating a diverse and inclusive workplace. We prohibit discrimination and harassment of any kind based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. We welcome applicants from all backgrounds and provide equal employment opportunities to ensure a fair and respectful work environment for everyone.