Documentation Specialist

Job Summary

To support insurance authorization processes, the full-time Documentation Specialist will secure, review, and validate medical documentation while maintaining communication with healthcare providers and clients in a professional office or HIPAA-compliant home office environment.

Key responsibilities

• Coordinates with medical providers to gather necessary documentation, adhering to payer guidelines and timelines
• Acts as a liaison by maintaining contact with referral sources and clients to resolve missing or incomplete records
• Conducts reviews of medical files to ensure policy compliance and validates information for electronic medical records

Required qualifications

• 1-2 years of experience in healthcare, Complex Rehab Technology, Medical Billing, or Funding preferred
• Knowledge of medical coding principles, including ICD-10, HCPCS, Modifiers, and NCCI edits
• Proficient in Microsoft Office (Excel, Outlook, and Word)
• High school diploma or equivalent required