Clinical Auditor

Clinical Auditor

Job Location s US-GA-LAWRENCEVILLE  of Business Spring Health Behavioral Health and Integrated Care Position Type Full-Time Pay Min USD $15.00/Hr. Pay Max USD $17.00/Hr. Our Company

Spring Health Behavioral Health and Integrated Care

Overview Clinical Auditor (Adult Waiver Compliance) - Full Time

Our Spring Health Behavioral Health team is growing, and we are looking for a Full-time detail-driven Clinical Auditor who is passionate about quality, compliance, and ensuring exceptional care for the individuals we serve.

In this role, you will play a key part in protecting the integrity of our services by conducting audits of clinical records, documentation, and billing alignment to ensure compliance with Georgia Adult Waiver requirements, Medicaid standards, and company policies. Clinical auditors help healthcare organizations maintain regulatory compliance and improve quality of care by reviewing documentation and identifying opportunities for improvement.

If you enjoy working with data, clinical documentation, and Excel, and take pride in ensuring services meet the highest standards, this is an opportunity to make a meaningful impact behind the scenes of care delivery.

At Spring Health, our mission is simple: help people live their best life. By ensuring regulatory and clinical excellence, you help safeguard the quality of services provided to individuals receiving support through Georgia's Medicaid waiver programs.

What You'll Do

Conduct internal audits of clinical documentation, service notes, and billing records

• Ensure alignment with Georgia Adult Waiver requirements and Medicaid regulations

• Identify documentation gaps and compliance risks and provide recommendations for correction

• Analyze audit findings and prepare reports to support operational and clinical leadership

• Collaborate with clinical and operational teams to strengthen documentation practices and compliance processes

• Utilize Excel and data analysis to track trends, audit results, and compliance metrics

Why Join Spring Health?

At Spring Health Behavioral Health & Integrated Care, we are a clinically led organization committed to delivering person-centered care. Our teams are dedicated to improving lives through evidence-based services and continuous quality improvement.

If your passion is ensuring quality care and regulatory excellence so individuals can live their fullest lives, we encourage you to apply today.

Responsibilities

Responsibilities may include the following but not limited to

• Use excel and other company forms to maintain audit
• Conduct routine and random audits of clinical records for Adult Waiver participants.
• Review documentation for compliance with Georgia Medicaid waiver standards, DBHDD requirements, and internal policies.
• Staff credentialing documentation related to service provision
• Ensure services rendered align with authorized units and documentation supports billing claims.
• Identify missing documentation, expired documents, and compliance gaps.
• Maintain organized electronic and/or physical files in compliance with record retention standards.
• Support data entry and reporting for leadership.
• Assist with document preparation for audits and regulatory submissions.
• Coordinate documentation requests from clinicians and supervisors.
• Support internal workflow processes and other administrative tasks as assigned.
• Develop audit reports with clear findings and corrective recommendations.
• Track recurring compliance issues and recommend system-level improvements.

Qualifications

• High school diploma or equivalent required

• Strong organizational and time-management skills with the ability to prioritize tasks effectively

• Exceptional attention to detail and accuracy

• Ability to follow established processes, guidelines, and documentation standards

• Strong communication skills and ability to work collaboratively within a team

• Ability to manage multiple responsibilities in a fast-paced environment while maintaining quality and compliance
• Experience working as an auditor a preferred but not required

About our Line of Business Spring Health Behavioral Health and Integrated Care, an affiliate of Bright Spring Health Services, offers a holistic approach and integrated care for people with cognitive, developmental, or intellectual disabilities who often need additional resources. The behavior analysts, therapists, social workers, counselors, and psychologists at Spring Health combine their expertise to deliver high-quality behavioral services for clients to live more positive, active, and social lives.

For more information, please visit  Follow us on Facebook and Linked In. Salary Range USD $15.00 - $17.00 / Hour