Dental Auditor

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Full-Time Professional Children's Dental, Artesia, CA, US

2 days ago Requisition

Job Title:

Dental Auditor

Department:
Quality Management (QM)

Position Type:
Full-time

Compensation: $600 per day

Location:

California (must hold an active CA dental license)

The Dental Auditor ensures clinical quality, regulatory compliance. This role conducts clinical audits and reviews, identifies risks and trends, and partners with internal teams and providers to drive corrective actions and continuous improvement.

Perform clinical audits of dental records, and utilization to assess compliance with policies, CADP standards, state/federal regulations, and payer requirements.

• Evaluate medical necessity, coding accuracy (CDT), documentation quality, and adherence to evidence-based guidelines.
• Support readiness for external reviews and accreditation surveys; maintain audit tools, checklists, and SOPs.
• Provide provider education and feedback to improve documentation, coding, and clinical quality.
• Maintain strict confidentiality and data security in accordance with HIPAA and company policies.

Licensed Dentist in California with an active status

• CADP-certified auditor (preferred). If not currently certified, must obtain certification promptly upon hire.

Strong knowledge of dental benefit design, CDT coding, utilization management, and quality improvement principles.

Excellent analytical, documentation, and report-writing skills.

• Strong communication skills with the ability to deliver clear feedback to providers and cross-functional partners.

• Minimum 2 years of experience working with dental plans (payer, DSO, or managed care setting).
• Experience with CADP standards.
• Familiarity with fraud/waste/abuse detection, root cause analysis, and corrective action planning.
• Experience training or educating providers on documentation and coding best practices.

Full-time, Monday–Friday

Primarily office-based, with potential travel for provider site audits within California.

• Accuracy and completeness of audit findings and reports.
• Timeliness of audits and follow-up validations.
• Reduction in error rates and repeat findings.
• Provider satisfaction with education and feedback.
• Compliance with CADP and regulatory standards.

We are an equal opportunity employer and value diversity. All employment decisions are based on qualifications, merit, and business need.