Top 39 Clinical documentation specialist Jobs in Centennial, Co

Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
Elevance Health —Denver, CO
- $86,560 - $155,808 a year
- Contract
- RN License
- 5 years
- Continuous improvement
- Employee stock purchase plan
- Paid holidays
8d
Credentialing Specialist (On site position)
Summit Medical Consultants —Greenwood Village, CO
- $26 - $31 an hour
- Full-time
- Medical office experience
- Mid-level
- Office
- Health savings account
- AD&D insurance
Quick Apply
Clinical Documentation & Provider Success Specialist
Zynex Medical, Inc. —Denver, CO
- Customer service
- Medical office experience
- HIPAA
Quick Apply
11d
RN Clinical Documentation Specialist
The Denver Hospice —Denver, CO
- $80,288 - $94,328 a year
- Full-time
- Nursing
- RN License
- 5 years
- 403(b) matching
- Health savings account
Quick Apply
Medical Records - Health Information Specialist
Critical Care Pulmonary and Sleep Associates —Parker, CO
- $21 - $24 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
Inpatient Coding Auditor
Huron Managed Services LLC —Denver, CO
- $38.46 - $52.40 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Dental insurance
Quick Apply
2d
Labor & Delivery Registered Nurse
Career Land Center, LLC —Denver, CO
- Full-time
- RN License
- Hospital
- 1 year
- Relocation assistance
Quick Apply
Registered Nurse Labor and Delivery
AdventHealth Castle Rock —Castle Rock, CO
- $34.26 - $59.24 an hour
- Full-time
- Background check
- Medication administration
- RN License
- Health savings account
- Health insurance
Quick Apply
Revenue Cycle Specialist
Nira Medical —Denver, CO
- $26 - $36 an hour
- Full-time
- Mid-level
- 3 years
- Analysis skills
Quick Apply
7d
Health Information Management Specialist I
Breg, Inc. —Denver, CO
- $19 - $24 an hour
- Anatomy knowledge
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
Learning Support Specialist - Oncology
Flourish Research —Denver, CO
- $70,000 - $80,000 a year
- Full-time
- 5 years
- Computer literacy
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Health Information Management Associate - Pediatric Healthcare
Care Options for Kids —Denver, CO
- $20 - $22 an hour
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
11d
Sr. Clinical Specialist, Surgical Operations (Mountain West)
Aspen Neuroscience —Denver, CO
- $136,800 - $167,200 a year
- Full-time
- Acute care
- Nursing
- Surgery
- Health insurance
- Dental insurance
Quick Apply
Credentialing and Denials Specialist
Critical Care Pulmonary and Sleep Associates —Lakewood, CO
- $26 - $29 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- AD&D insurance
- Paid holidays
Quick Apply
8d
Medical Biller
Colorado Concussion Clinic —Wheat Ridge, CO
- $23 - $25 an hour
- Full-time
- HIPAA
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
3d
Specialist Supportive Services Trainer
Colorado Coalition for the Homeless —Denver, CO
- $27.79 - $32.65 an hour
- Full-time
- Customer service
- Analysis skills
- Case management
- 403(b) matching
- AD&D insurance
Quick Apply
9d
Research Regulatory Coordinator
United Urology Group —Lakewood, CO
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- Dental insurance
- Tuition reimbursement
Quick Apply
24/7 Registered Nurse
United Energy Workers Healthcare —Denver, CO
- $6,720 a week
- Background check
- Nursing
- RN License
7d
Clinical Research Coord Sr - Child Life
Children's Hospital Colorado —Aurora, CO
- $25.95 - $38.93 an hour
- Day shift
- Inventory management
- 5 years
- University
- Wellness program
- 403(b) matching
10d
Research Services Intermediate – Senior Professional
University of Colorado —Aurora, CO
- $54,302 - $74,673 a year
- Overtime
- Background check
- Anatomy knowledge
- Customer service
- Disability insurance
- Health insurance

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Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)

Elevance Health -
Denver, CO

Apply Now

Job Details

Contract
$86,560 - $155,808 a year
8 days ago

Benefits

Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

RN License
DRG

Full Job Description

Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)

Anticipated Job Posting End Date: 8/28/2026

Virtual: This role enables associates to work virtually full-time, with the exception of required inperson training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Diagnosis Related Group Clinical Validation Auditor-RN is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims.

How you will make an impact:

Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities.
Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions.
Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate detailed audit findings letters.
Maintains accuracy and quality standards as established by audit management.
Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions (HACs).
Suggests and develops high quality, high value, concept and or process improvement and efficiency recommendations.

Minimum Requirements:

Requires current, active, unrestricted Registered Nurse license in applicable state(s).
Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC.
Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred.
Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $86,560 to $155,808

Locations: California; Colorado, Illinois, Maryland, Minnesota, Nevada; New York; Washington State

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

clinical documentation specialist jobs in centennial, co

Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)

Credentialing Specialist (On site position)

Clinical Documentation & Provider Success Specialist

RN Clinical Documentation Specialist

Medical Records - Health Information Specialist

Inpatient Coding Auditor

Labor & Delivery Registered Nurse

Registered Nurse Labor and Delivery

Revenue Cycle Specialist

Health Information Management Specialist I

Learning Support Specialist - Oncology

Health Information Management Associate - Pediatric Healthcare

Sr. Clinical Specialist, Surgical Operations (Mountain West)

Credentialing and Denials Specialist

Medical Biller

Specialist Supportive Services Trainer

Research Regulatory Coordinator

24/7 Registered Nurse

Clinical Research Coord Sr - Child Life

Research Services Intermediate – Senior Professional

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