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Clinical Documentation & Quality Assurance Specialist

πŸ•’ yesterday
Clinical Documentation ReviewClinical TerminologyQuality AssuranceDocumentation Accuracy
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πŸ“œ Description

  • Review and interpret clinical information and documentation accurately.
  • Assess records for completeness, accuracy, and consistency; identify discrepancies and missing information.
  • Apply established guidelines and processes to clinical documentation reviews.
  • Learn new clinical information and procedures, and seek clarification when needed.

πŸ› οΈ Requirements

  • A relevant academic background in Psychology, Clinical Psychology or a related clinical or healthcare field.
  • A Bachelor's or Master's degree in Psychology, or an equivalent qualification in a relevant discipline, would be desirable. The exact qualification requirement is 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 the ability to recognise when guidance or clarification is needed.
  • Previous experience reviewing clinical or healthcare documentation.
Full job description

Clinical Documentation & Quality Assurance Specialist


Employment Type: Full-time
Location: Remote – South Africa
Working Hours: Monday to Friday, 9:00 AM – 5:00 PM EST
Holiday Structure: US Public Holidays
Remuneration: R 33,500–35,000

About the Role

We are looking for a highly capable, detail-oriented individual with a background in psychology, clinical studies or a related healthcare field to join our client's team.

This opportunity is suited to someone who can confidently understand clinical information, interpret complex documentation and maintain a high standard of accuracy and quality in their work.

The ideal candidate will have strong analytical and comprehension skills, a genuine interest in clinical information and the ability to learn complex processes quickly. They should be diligent, dependable and comfortable working independently while knowing when to ask questions or seek guidance.

Requirements

ey Responsibilities

The successful candidate will be expected to:

  • Review and interpret clinical information and documentation with a high level of accuracy.
  • Understand clinical terminology, concepts and information relevant to the role.
  • Assess documentation for completeness, accuracy and consistency.
  • Identify discrepancies, missing information or areas requiring further attention.
  • Apply established guidelines and processes when reviewing clinical documentation.
  • Maintain accurate records and ensure work is completed 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.

Note: The exact responsibilities and whether the position includes documentation support only or any clinical decision-making will be confirmed.

Minimum Requirements

  • A relevant academic background in Psychology, Clinical Psychology or a related clinical or healthcare field.
  • A Bachelor's or Master's degree in Psychology, or an equivalent qualification in a relevant discipline, would be desirable. The exact qualification requirement is 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 the ability to recognise when guidance or clarification is needed.

Advantageous Experience

  • Previous experience reviewing clinical or healthcare documentation.
  • Experience in healthcare Quality Assurance (QA).
  • Exposure to Applied Behaviour Analysis (ABA) or a similar clinical environment.
  • Experience identifying documentation gaps, inconsistencies or quality concerns.
  • Familiarity with clinical terminology and healthcare processes.

The Ideal Candidate

We are looking for someone who combines clinical understanding with strong analytical ability and exceptional work quality.

The ideal person will be:

Clinically minded: Able to understand clinical concepts and interpret relevant information confidently.

Analytical: Naturally curious, thoughtful and able to work through complex information.

Meticulous: Takes pride in producing accurate, high-quality work.

Diligent: Reliable, consistent and committed to following tasks through to completion.

Independent: Comfortable taking ownership of their responsibilities.

A quick learner: Able to absorb new information and apply it confidently.




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