Clinical Documentation and Quality Reviewer – Therapy
iSTA Solutions
full-time
Posted on:
Location Type: Remote
Location: South Africa
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About the role
- Review therapy session notes and clinical documentation completed by therapists, counselors, or RBTs/BCBAs for accuracy and completeness.
- Identify missing information, inconsistencies, or documentation errors.
- Ensure clinical notes meet required standards for insurance billing.
- Provide clear, respectful, and constructive feedback to clinicians, therapists, or counselors.
- Track and follow up on corrected documentation where necessary.
- Maintain organized records of documentation reviews and quality checks.
- Collaborate with internal and clinical teams to support documentation standards and compliance.
Requirements
- Previous **clinical experience** in therapy, counseling, psychology, or child services (ABA experience a plus).
- Experience writing or reviewing session notes, progress notes, or treatment documentation.
- Strong understanding of documentation standards and compliance in clinical or therapy environments.
- Excellent written and verbal communication skills.
- High emotional intelligence and ability to provide constructive feedback tactfully.
- Strong attention to detail and analytical ability.
- Highly organized and able to manage workflow independently.
- Basic computer literacy (Microsoft Office, Outlook).
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical documentationsession notesprogress notestreatment documentationdocumentation standardscompliance
Soft Skills
written communicationverbal communicationemotional intelligenceconstructive feedbackattention to detailanalytical abilityorganizational skillsindependent workflow management