Clinical Documentation & Quality Assurance Specialist
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Job Description
Clinical documentation and quality assurance specialist reviewing healthcare information for accuracy, completeness, and consistency. Supporting quality assurance processes remotely from South Africa.
Responsibilities:
- Review and interpret clinical information and documentation accurately
- Understand clinical terminology, concepts and relevant information
- Assess documentation for completeness, accuracy and consistency
- Identify discrepancies, missing information and areas requiring further attention
- Apply established guidelines and processes when reviewing clinical documentation
- Maintain accurate records and complete work to the required standard
- Manage assigned tasks independently while meeting deadlines and maintaining productivity
- Communicate clearly when clarification or additional guidance is required
- Learn and apply new clinical information, processes and procedures effectively
- Exact responsibilities and whether the position includes documentation support only or clinical decision-making will be confirmed
Requirements:
- Relevant academic background in Psychology, Clinical Psychology or a related clinical or healthcare field
- Bachelor's or Master's degree in Psychology, or equivalent qualification in a relevant discipline, would be desirable; exact qualification requirement to be confirmed
- Strong comprehension and analytical thinking skills
- Ability to understand, interpret and learn complex clinical information
- Exceptional attention to detail and accuracy
- Strong written communication skills
- Ability to work independently and maintain focus
- Reliable, diligent and consistent approach to completing tasks
- Sound judgement and ability to recognise when guidance or clarification is needed
- Previous experience reviewing clinical or healthcare documentation is advantageous
- Experience in healthcare Quality Assurance (QA) is advantageous
- Exposure to Applied Behaviour Analysis (ABA) or similar clinical environment is advantageous
- Experience identifying documentation gaps, inconsistencies or quality concerns is advantageous
- Familiarity with clinical terminology and healthcare processes is advantageous
Benefits:
- Monday to Friday, 9:00 AM – 5:00 PM EST working hours
- US public holidays
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