ABA Compliance & Records Reviewer

Acentra Health, LLC; United States; On-site; USD 39,000 - 54,000; Full time

Job summary

Acentra Health, LLC is seeking a Behavioral Health Clinical Reviewer to perform administrative reviews of Applied Behavior Analysis (ABA) records. The BCBA Reviewer determines medical appropriateness by evaluating documentation against established criteria and contractual requirements, without direct clinical patient care decisions.

Responsibilities include conducting prospective, concurrent, and retrospective ABA reviews, validating testing tools, ensuring timely and compliant documentation,

Qualifications

• Requires Board-Certified Behavior Analyst (BCBA) certification.
• Master's degree in psychology, Behavior Analysis, or a related field.
• Strong clinical assessment and critical thinking skills.
• Knowledge of medical records organization, terminology, and disease processes.

Responsibilities

• Conduct prospective, concurrent, and retrospective reviews of Behavioral Health services, focusing on ABA.
• Evaluate age-appropriate testing and assessment tools to determine ABA therapy appropriateness.
• Ensure accuracy and timeliness of all review types per contract requirements.
• Read and adhere to HIPAA Privacy and Security Rules and corporate policies.

Job description

Acentra Health, LLC is seeking a Behavioral Health Clinical Reviewer to perform administrative reviews of Applied Behavior Analysis (ABA) records. The BCBA Reviewer determines medical appropriateness by evaluating documentation against established criteria and contractual requirements, without direct clinical patient care decisions.

Responsibilities include conducting prospective, concurrent, and retrospective ABA reviews, validating testing tools, ensuring timely and compliant documentation,