[Hiring] QA Specialist @ReWorks Solutions

Role Description

• Conduct routine audits of clinical documentation, treatment plans, session notes, and client records to ensure compliance with company policies and insurance requirements.
• Monitor adherence to ABA service delivery standards and regulatory guidelines.
• Review billing documentation to ensure accuracy and proper alignment with services provided.
• Identify documentation errors, compliance risks, or operational gaps and communicate findings to relevant teams.
• Work closely with BCBAs, scheduling teams, intake, and billing departments to resolve quality or compliance issues.
• Track audit results and maintain QA reports for leadership review.
• Provide feedback and recommendations to improve documentation practices and service quality.
• Assist with developing and maintaining QA policies, procedures, and internal guidelines.
• Support preparation for insurance audits, credentialing reviews, or regulatory inspections.
• Monitor corrective action plans and ensure identified issues are resolved.

Qualifications

• Previous experience in ABA, behavioral health, healthcare administration, or medical QA/compliance.
• Strong knowledge of ABA documentation standards and insurance requirements (preferred).
• Experience auditing clinical documentation or medical records.
• High attention to detail and strong organizational skills.
• Ability to identify compliance issues and recommend improvements.
• Strong communication skills and ability to work with cross-functional teams.
• Experience with systems such as Rethink, CentralReach, or other ABA practice management platforms is preferred.
• Proficiency with Google Workspace or similar office tools.
• Comfortable working U.S. hours.

Requirements

• Remote work from home.

Company Description

Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.