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Compliance & QA Specialist

ReWorks Solutions
South AfricaremoteEnglish27k-30k ZAR/month2d ago
legalqa

Clinical Documentation & QA Specialist Location: Remote – South Africa Working Hours: 9:00 AM – 5:00 PM EST Schedule: Monday – Friday Salary: R 26,500–30,000 About the Role We are looking for a highly detail-oriented and organised Clinical Documentation & QA Specialist to review clinical documentation, identify errors or gaps, and ensure records meet required quality and compliance standards. This is a hands-on 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 time. The 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 personally. Requirements Key Responsibilities Set up employee and provider profiles within company systems. Use AI tools to identify session notes that may not meet funder expectations and review flagged issues. Conduct documentation audits against approved standards and procedures. Review RBT and BCBA notes for: Missing goals Incomplete or overly similar narratives Signature issues Incorrect dates or times Compare documentation against CentralReach billing, service records and schedules to identify discrepancies. Coordinate corrections with providers and follow up on outstanding changes. Maintain an accurate audit trail within assigned permissions. Maintain Excel trackers for new-RBT reviews, recurring errors, amended or removed notes and unresolved corrections. Review parent/caregiver training utilisation, including service code 97156 , against payer-specific expectations and follow up with BCBAs where required. Support profile, note and timesheet administration. Assist with CentralReach mobile workflow testing and report system issues. Train new hires on proper documentation practices and support consistent documentation standards. What We're Looking For The successful candidate will be: Extremely detail-oriented and thorough. Highly organised with strong follow-through. Patient and comfortable working through repetitive documentation reviews. A quick learner who can understand and apply guidance independently. Confident providing constructive feedback and following up when corrections are required. Comfortable dealing with resistance or pushback without taking it personally. Able to identify inconsistencies, errors and missing information...

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