Clinical Compliance & Audit Specialist

Lumio Dental

Clinical Compliance & Audit Specialist

Remote, MO
Full Time
Paid
  • Responsibilities

    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