Clinical Documentation amp QA SpecialistLocation Remote South AfricaWorking Hours 900 AM 500 PM ESTSchedule Monday FridaySalary R 2650030000About the RoleWe are looking for a highly detailoriented and organised Clinical Documentation amp QA Specialist to review clinical documentation identify errors or gaps and ensure records meet required quality and compliance standardsThis is a handson quality assurance role where you will work closely with RBTs BCBAs and other providers to review documentation coordinate corrections and ensure issues are resolved accurately and on timeThe ideal candidate is patient thorough and confident providing constructive feedback You should be comfortable dealing with pushback and difficult conversations while remaining professional and not taking things personallyRequirementsKey ResponsibilitiesSet up employee and provider profiles within company systemsUse AI tools to identify session notes that may not meet funder expectations and review flagged issuesConduct documentation audits against approved standards and proceduresReview RBT and BCBA notes forMissing goalsIncomplete or overly similar narrativesSignature issuesIncorrect dates or timesCompare documentation against CentralReach billing service records and schedules to identify discrepanciesCoordinate corrections with providers and follow up on outstanding changesMaintain an accurate audit trail within assigned permissionsMaintain Excel trackers for newRBT reviews recurring errors amended or removed notes and unresolved correctionsReview parentcaregiver training utilisation including service code 97156 against payerspecific expectations and follow up with BCBAs where requiredSupport profile note and timesheet administrationAssist with CentralReach mobile workflow testing and report system issuesTrain new hires on proper documentation practices and support consistent documentation standardsWhat Were Looking ForThe successful candidate will beExtremely detailoriented and thoroughHighly organised with strong followthroughPatient and comfortable working through repetitive documentation reviewsA quick learner who can understand and apply guidance independentlyConfident providing constructive feedback and following up when corrections are requiredComfortable dealing with resistance or pushback without taking it personallyAble to identify inconsistencies errors and missing information accuratelyStrong in written communication and professional when communicating with providersComfortable working with confidential records and sensitive informationProficient in Excel and Microsoft OfficeExperience amp QualificationsHealthcare experience or previous CentralReach experience is not required and training can be providedHowever the following would be advantageousExperience in healthcare clinical administration quality assurance or documentation reviewExperience with clinical or medical recordsFamiliarity with ABA terminology or clinical documentationExperience with CentralReach or similar healthcareclinical systemsHigher education in psychology healthcare medical clinical or a related fieldNo specific clinical licence or mandatory qualification is requiredSoftware amp ToolsMicrosoft ExcelMicrosoft WordSharePointOutlookMicrosoft TeamsZoomCentralReach training providedCentralReach mobile workflow testingImportant ExpectationsThis role requires someone who can stand their ground professionallyYou will occasionally deal with RBTs BCBAs or other providers who may be frustrated or push back when documentation needs to be corrected The right person needs to be able to remain calm objective and professional focus on the requirements and not take difficult interactions personallyIf you enjoy quality assurance spotting details others may miss keeping records accurate and helping teams improve their documentation this could be a great fit
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