Medical Documentation & Payer Compliance Specialist

Altivera Medical; Denver (CO); On-site; USD 55,000 - 75,000; Full time

Job summary

Altivera Medical is seeking a Medical Documentation Reviewer to interpret medical records, order documentation, and supporting clinical information in a non-clinical capacity.

You will assess payer criteria and medical necessity, identify missing or unclear documentation, and prepare concise written summaries while ensuring confidentiality and compliance with privacy standards. You will manage multiple cases with accuracy and timely delivery.

Qualifications

• High school diploma or equivalent; associate degree preferred.
• Three years of experience reviewing medical records or related healthcare documentation.
• Strong ability to interpret medical terminology and patient history with accuracy.

Responsibilities

• Review medical records and related materials to determine completeness and consistency with medical necessity.
• Compare documentation against payer criteria and internal standards.
• Identify missing or unclear information and communicate findings clearly.

Skills

Medical terminology

Detail orientation

Written communication

Time management

Microsoft Office

Documentation review

Education

High school diploma

Associate degree preferred

Tools

Microsoft Office

EMR systems

Job description

Altivera Medical is seeking a Medical Documentation Reviewer to interpret medical records, order documentation, and supporting clinical information in a non-clinical capacity.

You will assess payer criteria and medical necessity, identify missing or unclear documentation, and prepare concise written summaries while ensuring confidentiality and compliance with privacy standards. You will manage multiple cases with accuracy and timely delivery.