Clinical Compliance & Audit Specialist
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Job Description
Clinical Compliance & Audit Specialist supporting Lumio Dental's compliance program through audit execution and quality oversight. Ensuring adherence to regulatory standards and payer requirements.
Responsibilities:
- Conduct routine chart audits to ensure accuracy, completeness, and compliance
- Identify documentation gaps and support quality improvement efforts
- Provide feedback on clinical notes and support documentation standardization
- Manage day-to-day compliance inquiries and follow-ups with office teams
- Track key compliance processes (e.g., waterline testing, spore testing, audit logs)
- Maintain audit trackers and monitor trends across practices
- Partner with Clinical Support, Operations, and RCM to resolve issues and ensure alignment
Requirements:
- 5+ years of administrative and/or clinical dental experience
- 2+ years of experience working with Open Dental
- Proficient in Microsoft 365
- Highly detail-oriented with strong organizational skills
- Strong understanding of clinical workflows and documentation standards
- Ability to manage multiple priorities in a fast-paced environment
- Experience with chart auditing or compliance programs
- Familiarity with payer documentation requirements, specifically CMS Medicaid
- Experience in a multi-site or DSO environment
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