Clinical Audit Specialist

On Demand / New Day Recovery LLC

Clinical Audit Specialist managing behavioral health payer audits and denial management for Recovery Management Services. Engaging with clinical teams to improve payer outcomes and readiness.

Posted 5/23/2026part-timeAustintown • Ohio • 🇺🇸 United StatesSeniorLeadWebsite

About the role

Key responsibilities & impact

Coordinate and manage behavioral health payer audits, denials, and utilization review activities
Prepare and submit audit responses, appeals, and supporting clinical documentation
Defend medical necessity and level-of-care determinations using ASAM Criteria
Conduct peer-to-peer reviews and manage payer appeal processes
Monitor audit trends, documentation concerns, and compliance risks
Collaborate with clinical, compliance, and revenue cycle teams to improve payer outcomes and audit readiness
Provide documentation guidance and education related to medical necessity standards

Requirements

What you’ll need

Must be at least 18 years of age
Successful completion of BCI/FBI background check and pre-employment drug screen
Active or eligible Ohio clinical licensure preferred, including LPC/LPCC, LSW/LISW, or related behavioral health credentials
Independent licensure preferred
Clinical background with expertise in behavioral health documentation, medical necessity review, ASAM Criteria, and utilization review activities including audits and appeals.

Benefits

Comp & perks

PTO begins accruing immediately
EOO/DFWP

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

behavioral health documentationmedical necessity reviewutilization reviewaudit response preparationpeer-to-peer reviewsASAM Criteriadenial managementcompliance monitoringdocumentation guidanceappeals management

Soft Skills

collaborationcommunicationorganizational skillsproblem-solvingattention to detail

Certifications

Ohio clinical licensureLPCLPCCLSWLISW