Compliance & QA Specialist
R
ReWorks SolutionsClinical documentation
Remote – South Africa, 9:00 AM – 5:00 PM ESTFull-Time
Salary26,500 - 30,000 ZAR per year
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Job Details
- Required Skills
- SharePointMicrosoft ExcelQuality Assurance
Requirements
- Be proficient in Excel and Microsoft Office.
- Be detail-oriented, thorough and highly organized, with strong follow-through.
- Accurately identify inconsistencies, errors and missing information.
- Communicate professionally in writing and provide constructive feedback to providers.
- Remain calm and objective when handling resistance or pushback about required corrections.
- Work comfortably with confidential records and sensitive information.
- Learn and apply guidance independently and work patiently through repetitive documentation reviews.
- Experience in healthcare, clinical administration, quality assurance or documentation review is advantageous, not required.
- Experience with clinical or medical records is advantageous.
- Familiarity with ABA terminology or clinical documentation is advantageous.
- Experience with CentralReach or similar healthcare or clinical systems is advantageous; CentralReach training is provided.
- Higher education in psychology, healthcare, medical, clinical or a related field is advantageous.
- No specific clinical licence or mandatory qualification is required.
Responsibilities
- Set up employee and provider profiles in company systems.
- Use AI tools to identify session notes that may not meet funder expectations and review flagged issues.
- Audit documentation against approved standards and procedures.
- Review RBT and BCBA notes for missing goals, incomplete or overly similar narratives, signature issues, and incorrect dates or times.
- Compare documentation with CentralReach billing, service records and schedules to identify discrepancies.
- Coordinate corrections with providers and follow up on outstanding changes.
- Maintain audit trails and Excel trackers for reviews, recurring errors, amended or removed notes, and unresolved corrections.
- Review parent and caregiver training utilization, including service code 97156, against payer-specific expectations.
- Support profile, note and timesheet administration and test CentralReach mobile workflows, reporting system issues.
- Train new hires on documentation practices and support consistent documentation standards.
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