Senior Clinical Compliance Auditor (Santiago)

Senior Clinical Compliance Auditor (Santiago)

02 ago
|
Workana
|
Santiago

02 ago

Workana

Santiago

Workana is the largest remote work platform for talents in Latin America. Our Workana Premium segment connects exceptional professionals with innovative companies around the globe, offering competitive compensation, dedicated support, and fully remote opportunities in a collaborative environment.Workana-Premium-Job-Post-Template.pdf+1
We are proud to present the following opportunity.
About Our Client
Stride Autism Centers is a mission-driven healthcare organization serving children and families across four states in the U.S. Their compliance and clinical quality function supports 23 centers, with a strong focus on audit readiness, documentation quality, and regulatory risk reduction.
Role Overview
As a Senior Clinical Compliance Auditor, you will own and operate Stride’s internal audit program, strengthen audit readiness across centers, and support external audit defense behind the scenes. This is a high-trust, detail-intensive remote role for someone who can combine clinical documentation review, compliance rigor, and strong written communication.
Responsibilities




Design and execute a recurring internal audit program, including pre-bill and post-bill chart reviews, monthly sampling, and targeted audits triggered by risk signals.
Audit ABA clinical documentation against payer and state Medicaid requirements, including session notes, treatment plans, reassessments, prior authorizations, supervision rules, rendering-provider accuracy, and time/unit documentation.
Calculate and trend center- and provider-level error rates, identify root causes, and surface documentation gaps before payers do.
Maintain a four-state requirements matrix covering Iowa, Illinois, Nebraska, and South Dakota, and keep it current as regulations and payer rules change.
Own configuration and day-to-day operation of the Brellium audit platform, including AI-flag review, rule-set management, and reporting.
Build audit dashboards and KPIs for leadership and operational teams.
Monitor coding and...

📌 Senior Clinical Compliance Auditor (Santiago)
🏢 Workana
📍 Santiago

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