Compliance & QA Specialist

ReWorks Solutions; United States; Remote; USD 18,000 - 20,000; Full time

Job summary

ReWorks Solutions is seeking a Clinical Documentation & QA Specialist to review clinical documentation, identify errors or gaps, and ensure records meet quality and compliance standards. This hands-on QA role collaborates with RBTs, BCBAs and other providers to review notes, coordinate corrections and ensure timely resolution.

The ideal candidate is patient, thorough, comfortable with constructive feedback, and able to handle pushback professionally.

Qualifications

• Detail-oriented and thorough in reviewing clinical documentation.
• Strong written communication with providers.
• Proficient in Excel and Microsoft Office.
• Experience with healthcare documentation systems is advantageous.
• Familiarity with CentralReach or similar systems is a plus.

Responsibilities

• Set up employee and provider profiles in company systems.
• Use AI tools to flag session notes failing funder expectations.
• Conduct documentation audits against standards and procedures.
• Review RBT and BCBA notes for missing goals or errors.
• Coordinate corrections with providers and track changes.
• Maintain an audit trail and Excel trackers.
• Review service code 97156 usage against payer expectations.
• Assist with profile, note and timesheet administration.
• Support CentralReach mobile workflow testing and report issues.
• Train new hires on proper documentation practices.

Skills

Attention to detail

Organisational skills

Written communication

Feedback delivery

Conflict management

Education

Higher education in psychology or healthcare or related field

Tools

Microsoft Excel

Microsoft Word

SharePoint

Outlook

Microsoft Teams

Zoom

CentralReach

CentralReach mobile

Job description

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 accurately.
• Strong in written communication and professional when communicating with providers.
• Comfortable working with confidential records and sensitive information.
• Proficient in Excel and Microsoft Office.

Experience & Qualifications

Healthcare experience or previous CentralReach experience is not required and training can be provided.

However, the following would be advantageous:

• Experience in healthcare, clinical administration, quality assurance or documentation review.
• Experience with clinical or medical records.
• Familiarity with ABA terminology or clinical documentation.
• Experience with CentralReach or similar healthcare/clinical systems.
• Higher education in psychology, healthcare, medical, clinical or a related field.

No specific clinical licence or mandatory qualification is required.

Software & Tools

• Microsoft Excel
• Microsoft Word
• SharePoint
• Outlook
• Microsoft Teams
• Zoom
• CentralReach – training provided
• CentralReach mobile – workflow testing

Important Expectations

This role requires someone who can stand their ground professionally.

You 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 personally.

If you enjoy quality assurance, spotting details others may miss, keeping records accurate and helping teams improve their documentation, this could be a great fit.