Dental Auditor

West Coast Dental Services; Artesia (CA); On-site; USD 94,000 - 127,000; Full time

Job summary

West Coast Dental Services is hiring a Dental Auditor in California to ensure clinical quality and regulatory compliance. The role conducts dental record audits, evaluates CDT coding and utilization, and partners with teams to drive corrective actions.

Ideal candidates hold a California dental license, possess CADP knowledge (certification preferred), and can provide education to clinicians to improve documentation and coding while maintaining HIPAA security.

Qualifications

• Licensed Dentist with active California status.
• CADP auditor certification preferred; must obtain if not current.
• Strong knowledge of dental benefit design, CDT coding, utilization management and quality improvement.
• Excellent analytical, documentation and reporting skills.
• Strong communication to provide clear provider feedback.

Responsibilities

• Perform clinical audits of dental records to assess compliance with policies and CADP standards.
• Evaluate medical necessity, CDT coding accuracy, documentation quality, and guidelines adherence.
• Support readiness for external reviews; maintain audit tools, checklists and SOPs.
• Provide education and feedback to providers to improve documentation and coding.
• Maintain HIPAA-compliant data confidentiality and security.

Skills

Dental license CA

CADP auditor certification

CDT coding knowledge

Utilization management

Quality improvement

Analytical skills

Documentation & report writing

Effective communication

Education

DDS/DMD

Tools

Audit tools

SOPs

Job description

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)

Summary 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.

Key Responsibilities

• 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.

Required Qualifications

• 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.

Preferred Qualifications

• 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.

Work Schedule and Environment

• Full-time, Monday–Friday
• Primarily office-based, with potential travel for provider site audits within California.

Performance Metrics

• 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.

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