Dental Auditor

WEST COAST DENTAL ADMINISTRATIVE SERVICES LLC; Artesia (CA); On-site; USD 96,000 - 126,000; Full time

Job summary

WEST COAST DENTAL ADMINISTRATIVE SERVICES LLC is seeking a Dental Auditor in California to perform clinical audits, ensure CADP policy compliance, and support quality improvement initiatives. The role requires an active California dental license and strong CDT knowledge.

The position is full-time, based in California with potential travel for provider site audits, and offers a daily compensation of $600. You will collaborate with the Quality Management team to drive corrective actions and

Qualifications

• Licensed Dentist in California with an active license.
• CADP auditor certification preferred or obtainable after hire.
• Strong knowledge of CDT coding and utilization management.
• Excellent analytical, documentation and reporting skills.
• Ability to educate providers and partners on quality practices.

Responsibilities

• Conduct clinical audits of dental records to assess policy and regulatory compliance.
• Evaluate CDT coding, documentation quality and medical necessity.
• Support readiness for external reviews and maintain audit tools.
• Provide education and feedback to providers to improve documentation and quality.
• Maintain HIPAA compliance and protect data confidentiality.

Skills

Auditing

CADP knowledge

Utilization management

Quality improvement

Documentation

Report writing

Provider education

Communication

Education

Active CA Dental License

CADP certification (preferred)

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

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

2 days ago Requisition ID: 7412

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.