Clinical Compliance & Audit Specialist

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