Documentation Quality Lead — Medical Records & Payer Compliance

Altivera Medical; Denver (CO); In loco; USD 70.000 - 100.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health insurance

401(k) plan

Descrizione del lavoro

Altivera Medical is seeking a Supervisor of Documentation Review to oversee daily workflow, ensure timely and accurate reviews, and coach a team of Order Documentation Specialists. The role provides subject‑matter guidance on payer requirements, documentation standards, and privacy compliance.

The Supervisor will drive continuous improvement, monitor quality metrics, and partner with cross‑functional teams to resolve issues and improve handoffs across the order and claims process.

Competenze

• High school diploma or equivalent; associate degree or relevant healthcare coursework preferred.
• Minimum of five years of experience reviewing and interpreting medical records, claims documentation, or related healthcare documentation.
• Minimum of three years of supervisory, training, quality review, or workflow oversight in US healthcare.
• Strong attention to detail; ability to coach and provide feedback professionally.
• Excellent written and verbal communication skills; able to summarize findings clearly.
• Proficiency with Microsoft Office and experience with claims/documentation systems.

Mansioni

• Supervise daily activities of Order Documentation Specialists reviewing medical records and payer criteria.
• Assign, monitor, and balance workload to ensure timely documentation reviews and follow-ups.
• Provide coaching, training, and day-to-day support on documentation standards and payer requirements.
• Review escalated cases and guide on incomplete or unclear documentation.
• Monitor quality, productivity, timeliness, and accuracy; identify trends and improvement opportunities.
• Ensure documentation outcomes are recorded in designated systems and trackers.
• Collaborate with internal teams to resolve issues and improve handoffs across processes.
• Maintain confidentiality per privacy standards and company policies.
• Support onboarding, refresher training, and updates related to payer rules and compliance.
• Escalate recurring issues and propose process improvements to leadership.

Conoscenze

Team leadership

Documentation review

Payer criteria

Quality management

Communication

Compliance

Workflow management

Formazione

High school diploma

Healthcare coursework preferred

Strumenti

Microsoft Office

EMR systems

Claims platforms

Case management systems

Descrizione del lavoro

Altivera Medical is seeking a Supervisor of Documentation Review to oversee daily workflow, ensure timely and accurate reviews, and coach a team of Order Documentation Specialists. The role provides subject‑matter guidance on payer requirements, documentation standards, and privacy compliance.

The Supervisor will drive continuous improvement, monitor quality metrics, and partner with cross‑functional teams to resolve issues and improve handoffs across the order and claims process.