Top 315 Documentation & utilization review Jobs in Centennial, Co

Claims Documentation Specialist
Zynex Medical, Inc. —Denver, CO
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
1d
Utilization Review Specialist
Denver Springs —Denver, CO
- $26 - $33 an hour
- 8 hour shift
- Mid-level
- Master's degree
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
Authorization Specialist/Unit Coordinator
AllHealth Network —Englewood, CO
- $27.78 an hour
- Hybrid work
- Computer literacy
- Mid-level
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
2d
Business Intelligence & Vendor Data Analyst
Zynex Medical, Inc. —Denver, CO
- Mid-level
- 3 years
- Finance
Quick Apply
Technology Inventory Control Analyst
Empower Annuity Insurance Company of America —Greenwood Village, CO
- $65,600 - $92,675 a year
- Remote
- Mid-level
- Office
- 3 years
- Paid parental leave
- Paid holidays
Medicaid Rebate Analyst Services Specialist
Conduent State Healthcare, LLC —Denver, CO
- $30 an hour
- Email
- Remote
- Customer service
- Research
- Mid-level
- Paid training
- Paid holidays
Utilization Review RN Flex
Children's Hospital Colorado —Aurora, CO
- $52.26 an hour
- Evenings as needed
- CPR Certification
- Nursing
- RN License
- Wellness program
- Paid sick time
5d
Research Billing System Analyst I
Colorado School of Mines —Golden, CO
- $59,000 - $63,000 a year
- Online Application
- Hybrid work
- Research
- Finance
- University
- Paid holidays
- Dental insurance
Senior Consultant - Clinical Documentation Specialist
Deloitte —Denver, CO
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Contract Administrator III
State of Colorado —Denver, CO
- $59,460 - $95,124 a year
- Full-time
- Hybrid work
- 6 years
- Word processing
- Pass drug screening
- Wellness program
- Health savings account
8d
Inventory Clerk - Returns Processing
Cencora —Denver, CO
- $23.67 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Warehouse experience
- Paid parental leave
- Health insurance
12d
State Tuition Wavier Program Administrator
State of Colorado —Centennial, CO
- $4,280 a month
- Online Application
- Microsoft Word
- Writing skills
- Office
- Free parking
- Paid holidays
6d
Physical Therapist ($3,000 Sign-on Bonus)
The Springs at St. Andrew's Village —Aurora, CO
- $46 - $52 an hour
- Weekends as needed
- Background check
- Skilled nursing facility
- Physical & Rehabilitation Medicine
- Health savings account
- Paid holidays
Quick Apply
Physician Opportunities
Summit Medical Consultants LLC —Denver, CO
- $275,000 - $300,000 a year
- 8 hour shift
- Medicine
- Skilled nursing facility
- Doctoral degree
- Health savings account
- Relocation assistance
Quick Apply
Occupational Therapist
Cottonwood Healthcare —Wheat Ridge, CO
- $45 - $55 an hour
- Part-time
- Computer literacy
- Writing skills
- English
- Continuing education credits
- Relocation assistance
Quick Apply
2d
Certified Occupational Therapy Assistant
Cottonwood Healthcare —Wheat Ridge, CO
- $35 - $45 an hour
- Part-time
- Computer literacy
- Writing skills
- English
- Continuing education credits
- Health savings account
Quick Apply
2d
Clinical Director
True Counseling Services, LLC —Denver, CO
- $76,000 - $112,000 a year
- Part-time
- Hybrid work
- Background check
- LMFT
- Management
- Paid time off
- Flexible schedule
Quick Apply
2d
Finance & Contracts Manager
VeriCour —Denver, CO
- $40 - $55 an hour
- Full-time
- Hybrid work
- Microsoft PowerPoint
- Microsoft Excel
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
3h
Part - Time Physician Opportunities
Summit Medical Consultants LLC —Denver, CO
- $35,000 - $160,000 a year
- Part-time
- Medicine
- Skilled nursing facility
- BC/BE
Quick Apply
Nurse Practitioner & Physician Assistant Opportunity
Summit Medical Consultants LLC —Denver, CO
- $100,000 - $120,000 a year
- 8 hour shift
- Skilled nursing facility
- BLS Certification
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply

I want to receive the latest job alert for documentation & utilization review in centennial, co

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

documentation & utilization review jobs near centennial, co

Clinical Director jobs in Denver, CO

Nurse Practitioner jobs in Denver, CO

Occupational Therapist jobs in Wheat Ridge, CO

Document Specialist jobs in Denver, CO

Physical Therapist jobs in Aurora, CO

Business Intelligence Analyst jobs in Denver, CO

Contract Administrator jobs in Denver, CO

Service Technician jobs in Denver, CO

Contract Manager jobs in Denver, CO

Utilization Review Nurse jobs in Aurora, CO

Utilization Review Nurse jobs in Denver, CO

Clinical Documentation Specialist jobs in Denver, CO

Inventory Associate jobs in Denver, CO

Certified Occupational Therapy Assistant jobs in Kalispell, MT

Medical Assistant jobs in Grand Rapids, MI

Certified Occupational Therapy Assistant jobs in Washington State

Certified Occupational Therapy Assistant jobs in Long Island, NY

Dental Assistant jobs in Dothan, AL

Certified Occupational Therapy Assistant jobs in Marianna, FL

Case Management Assistant jobs in Los Angeles, CA

Claims Documentation Specialist

Zynex Medical, Inc. -
Denver, CO

Quick Apply

Job Details

1 day ago

Qualifications

Caseload management
High school diploma or GED
Document quality checks
Productivity software
Standard operating procedures (SOPs)
Medical terminology
Documentation review

Full Job Description

This role focuses on validating documentation completeness, consistency, and alignment with payer requirements. The position requires strong attention to detail, the ability to interpret clinical documentation in a non-clinical capacity, and clear communication with internal teams regarding documentation findings. The role follows established guidelines, documented criteria, standard operating procedures, and supervisory direction while supporting accurate, timely, and consistent documentation review.

Core Competencies

Medical Documentation Review - Reviews and interprets medical records, claims documentation, and supporting clinical information in a non-clinical capacity.

Payer Criteria & Medical Necessity - Applies established insurance medical necessity criteria, payer requirements, internal review standards, and workflow instructions consistently.

Documentation Accuracy & Quality - Identifies missing, incomplete, inconsistent, or unclear documentation while maintaining strong attention to detail and quality expectations.

Written Communication - Prepares clear, concise, and professional summaries of documentation findings, including specific references to missing or supporting information.

Process & Compliance Discipline - Follows established criteria, checklists, standard operating procedures, privacy requirements, and escalation pathways.

Organization & Productivity - Manages multiple cases and competing priorities while meeting established timelines, productivity standards, and accuracy expectations.

Essential Duties & Responsibilities

Review medical records, claims documentation, payer criteria, and related support materials to determine whether documentation appears complete and consistent with stated medical necessity requirements.

Compare submitted documentation against established insurance medical necessity criteria, internal review standards, and workflow instructions.

Identify missing, incomplete, inconsistent, or unclear documentation and communicate findings to the appropriate internal team members.

Document review outcomes accurately and consistently in designated systems, trackers, or case management tools.

Prepare clear written summaries of documentation findings, including specific references to missing or supporting information.

Maintain confidentiality of patient, provider, and claims information in accordance with company policies and applicable privacy standards.

Follow established escalation pathways when additional review, clarification, or supervisor guidance is required.

Meet defined productivity, accuracy, and quality expectations while maintaining careful attention to detail.

Submit medical authorizations based on payer preferences and follow up until a determination is made.

Participate in training, calibration sessions, and process updates related to payer rules, documentation standards, and internal procedures.

Perform other documentation review and administrative support duties as assigned.

Qualifications

Required

High school diploma or equivalent required; associate degree or relevant healthcare coursework preferred.

Minimum of three years of experience reviewing and interpreting medical records, claims documentation, clinical documentation, insurance documentation, or related healthcare records.

Working knowledge of medical terminology and the ability to understand documentation related to patient history, diagnoses, treatment plans, orders, and supporting clinical notes.

Strong attention to detail and ability to identify documentation gaps, inconsistencies, and discrepancies.

Excellent written and verbal communication skills, including the ability to summarize findings clearly and professionally.

Ability to follow established criteria, checklists, standard procedures, and supervisory direction.

Proficiency with Microsoft Office applications and the ability to learn claims, documentation, or case management systems.

Ability to manage multiple cases or tasks while meeting established timelines and quality expectations.

Preferred

Experience reviewing documentation for insurance medical necessity, prior authorization, utilization review support, durable medical equipment, home health, specialty pharmacy, or related claims processes.

Experience using electronic medical record systems, payer portals, claims platforms, or document management tools.

Familiarity with payer guidelines, coverage policies, audit documentation, or medical review workflows.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Quick Apply

Refine Your Search

documentation & utilization review jobs in centennial, co

Claims Documentation Specialist

Utilization Review Specialist

Authorization Specialist/Unit Coordinator

Business Intelligence & Vendor Data Analyst

Technology Inventory Control Analyst

Medicaid Rebate Analyst Services Specialist

Utilization Review RN Flex

Research Billing System Analyst I

Senior Consultant - Clinical Documentation Specialist

Contract Administrator III

Inventory Clerk - Returns Processing

State Tuition Wavier Program Administrator

Physical Therapist ($3,000 Sign-on Bonus)

Physician Opportunities

Occupational Therapist

Certified Occupational Therapy Assistant

Clinical Director

Finance & Contracts Manager

Part - Time Physician Opportunities

Nurse Practitioner & Physician Assistant Opportunity

I want to receive the latest job alert for documentation & utilization review in centennial, co

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected