Position Overview
The Clinical Compliance & Audit Specialist supports Lumio Dental's compliance program through audit execution, documentation quality oversight, and day-to-day operational support. This role ensures clinical documentation aligns with regulatory standards, payer requirements, and internal expectations across a multi-site organization.
Key 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
Qualifications
- 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
Success in This Role
- Improved documentation consistency across practices
- Reduced audit backlog and compliance escalations
- Stronger alignment between clinical documentation and payer requirements
