Top 284 Documentation & utilization review Jobs in Centennial, Co

Claims Documentation Specialist
Zynex Medical, Inc. —Denver, CO
- Mid-level
- 3 years
- High school diploma or GED
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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
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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
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Intensive In-Home Therapist
Denver Children's Home —Denver, CO
- $58,000 - $59,000 a year
- Weekends as needed
- Hybrid work
- Background check
- CPR Certification
- Experience working with individuals with disabilities
- Disability insurance
- Health insurance
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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
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2d
Registered Nurse
Optimal Home Care Inc —Highlands Ranch, CO
- Full-time
- Nursing
- RN License
- Mid-level
- Mileage reimbursement
- 401(k)
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9d
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
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Part - Time Physician Opportunities
Summit Medical Consultants LLC —Denver, CO
- $35,000 - $160,000 a year
- Part-time
- Medicine
- Skilled nursing facility
- BC/BE
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Occupational Therapist
Cottonwood Healthcare —Wheat Ridge, CO
- $45 - $55 an hour
- Part-time
- Computer literacy
- Writing skills
- English
- Continuing education credits
- Relocation assistance
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2d
Physical Therapist Senior Living
Reliant Rehabilitation —Arvada, CO
- $47 - $60 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Finance & Contracts Manager
VeriCour —Denver, CO
- $40 - $55 an hour
- Full-time
- Hybrid work
- Microsoft PowerPoint
- Microsoft Excel
- Mid-level
- Health insurance
- Dental insurance
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10h
Land Development Civil Engineering Team Lead (PE) (JC654)
ilocatum —Centennial, CO
- $95,000 - $140,000 a year
- Full-time
- Civil engineering
- 5 years
- Office
- AD&D insurance
- Paid holidays
Quick Apply
Clinical Manager – LPC
True North Recovery Services —Denver, CO
- $75,000 - $85,000 a year
- Part-time
- Hybrid work
- Addiction Medicine
- LPC
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
1d
Operating Room Nurse Part-Time
Synergy Surgery Center —Englewood, CO
- $34.67 - $50.90 an hour
- Part-time
- Surgery
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
IDD Residential Program Manager
Cottonwood Community Alternatives, Inc. —Englewood, CO
- $25.64 - $28.30 an hour
- Full-time
- Background check
- Clean driving record
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
Operating Room Nurse
Centrum Surgery Center —Englewood, CO
- $34.67 - $50.90 an hour
- Full-time
- Surgery
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Operating Room Nurse
Clear Creek Surgery Center —Wheat Ridge, CO
- $34.67 - $50.90 an hour
- Full-time
- Surgery
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Executive Medical Director
Porch Light Health —Denver, CO
- $250,000 - $350,000 a year
- Full-time
- Medicine
- Psychiatry
- Addiction Medicine
- Health insurance
- Dental insurance
Quick Apply
12h
Psychiatric Nurse Practitioner (PMHNP) – Addiction Medicine
Avenues Recovery —Denver, CO
- $120,000 - $155,000 a year
- Full-time
- Psychiatry
- Patient monitoring
- Addiction Medicine
- AD&D insurance
- Loan repayment program
Quick Apply
7d
Medical Director - MD 1 Day Weekly
Wellpath —Castle Rock, CO
- $74,131.20 - $82,368.00 a year
- 8 hour shift
- Medicine
- Doctoral degree
- Clinic
- Wellness program
- Health savings account
7d

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documentation & utilization review jobs near centennial, co

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.

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Refine Your Search

documentation & utilization review jobs in centennial, co

Claims Documentation Specialist

Utilization Review Specialist

Physician Opportunities

Intensive In-Home Therapist

Clinical Director

Registered Nurse

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

Part - Time Physician Opportunities

Occupational Therapist

Physical Therapist Senior Living

Finance & Contracts Manager

Land Development Civil Engineering Team Lead (PE) (JC654)

Clinical Manager – LPC

Operating Room Nurse Part-Time

IDD Residential Program Manager

Operating Room Nurse

Operating Room Nurse

Executive Medical Director

Psychiatric Nurse Practitioner (PMHNP) – Addiction Medicine

Medical Director - MD 1 Day Weekly

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

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