Detail-Focused Claims Documentation Specialist

Zynex-Medical,-Inc.; Denver (CO); On-site; USD 55,000 - 65,000; Full time

Job summary

Altivera is seeking a detail-oriented Medical Documentation Reviewer to validate documentation against payer requirements. This non-clinical role involves interpreting clinical information, aligning with SOPs, and communicating findings to internal teams to support timely determinations.

You will review medical records and insurance documentation, identify gaps, prepare clear summaries with references, maintain confidentiality, and follow escalation paths.

Qualifications

• Must have a high school diploma or equivalent.
• Minimum of three years of experience reviewing medical records or related documentation.
• Working knowledge of medical terminology and supporting clinical notes.
• Strong attention to detail and ability to identify documentation gaps.
• Excellent written and verbal communication skills, and ability to follow procedures.
• Proficiency with Microsoft Office and ability to learn systems.
• Ability to manage multiple cases and meet timelines.

Responsibilities

• Review and interpret medical records, claims documentation, and payer criteria.
• Identify missing, incomplete, or inconsistent documentation and communicate findings.
• Prepare clear written summaries with specific references to missing or supporting information.
• Maintain confidentiality of patient, provider, and claims information.
• Follow escalation pathways for supervisor guidance and process updates.
• Submit authorizations based on payer preferences and follow up until a determination is made.

Skills

Medical terminology

Attention to detail

Written communication

Process compliance

Organization

Time management

Education

High school diploma

Associate degree

Tools

Microsoft Office

Job description

Altivera is seeking a detail-oriented Medical Documentation Reviewer to validate documentation against payer requirements. This non-clinical role involves interpreting clinical information, aligning with SOPs, and communicating findings to internal teams to support timely determinations.

You will review medical records and insurance documentation, identify gaps, prepare clear summaries with references, maintain confidentiality, and follow escalation paths.