Clinical Compliance Auditor

JOB DESCRIPTION

The Center for Elders’ Independence (CEI) is a PACE (Program of All-Inclusive Care for the Elderly) organization that uses an interdisciplinary team approach for care planning and implementing purposeful high quality, affordable, and integrated health care services to the elderly. Our participants meet PACE requirements as prescribed by CMS and are referred to as participants. CEI includes Adult Day Health Centers and primary care clinics, promoting participant autonomy, quality of life and the ability for individuals to live in their communities.

The Clinical Compliance Auditor plays a key role in ensuring the accuracy, completeness, and regulatory compliance of participant medical records for CEI. This position supports high‑quality, coordinated care by reviewing clinical documentation across interdisciplinary teams and identifying opportunities to strengthen documentation practices, regulatory adherence, and audit readiness. The Clinical Compliance Auditor works closely with clinical, quality, and compliance staff to promote consistent, accurate, and timely charting that reflects the care delivered to CEI participants.

The rate range for the Clinical Compliance Auditor position at CEI is $35.49 to $53.23 per hr. Hourly rate is based on the market for the position, as well as experience, skills, abilities and work history.

• Perform routine, targeted, and retrospective audits of participant medical charts across all clinical disciplines.
• Review documentation for accuracy, completeness, timeliness, and adherence to CMS, DHCS, state, and organizational standards.
• Verify that assessments, care plans, progress notes, orders, and interdisciplinary updates meet internal standards and regulatory expectations.
• Identify documentation deficiencies, inconsistencies, or omissions and communicate findings to appropriate staff for correction.
• Monitor documentation practices to ensure compliance with CMS PACE regulations, state requirements, and organizational policies.
• Assist in preparing for internal and external audits, including CMS and DHCS reviews.
• Provide feedback, coaching, and training to staff on documentation standards, common errors, and opportunities for improvement.
• Collaborate with interdisciplinary teams to reinforce timely and accurate documentation workflows.
• Prepare reports summarizing audit outcomes, trends, and recommendations for leadership.
• Support quality improvement initiatives by identifying documentation‑related risks and contributing to corrective action planning.

• Associate’s or Bachelor’s degree in Nursing, Social Work, Physical Therapy or related field.
• Experience in medical chart auditing, health information management, or clinical documentation review.
• Strong understanding of medical terminology, interdisciplinary care documentation, and healthcare regulatory standards.
• Familiarity with PACE, long‑term care, or outpatient care environments.
• Excellent attention to detail, analytical skills, and written communication abilities.
• Proficiency with electronic health record (EHR) systems and Microsoft Office Suite.

The above job description is intended to communicate the general function of the mentioned position and by no means shall be considered an exhaustive or complete outline of the specific tasks and functions that will be required. CEI reserves the right to change job descriptions, site assignments, and or work hours as required by the needs of the program. All employees are expected to perform their duties within their ability as required by the job and or as requested by management.