Documentation Specialist

AdaptHealth

. Review, analyze, and validate clinical documentation for payer compliance and billing readiness .

Posted 10/23/2026full-timeRemote • United StatesJunior💰 $17 - $20 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in clinical documentation review and payer compliance, with strong capabilities in managing patient eligibility documents and resolving billing discrepancies. Proficient in communication and collaboration with healthcare providers and insurance companies to ensure timely and accurate billing processes.

Highest-signal resume keywords

Clinical Documentation ReviewPayer CompliancePatient Eligibility ManagementStrong Communication SkillsProblem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

BillingClaims ManagementInsurance VerificationDocumentation AnalysisData ReconciliationPrior Authorization RequestsElectronic Documentation ManagementAttention to DetailMulti-TaskingAdministrative Experience

Soft Skills

Customer Service SkillsVerbal CommunicationWritten Communication

Tools & Technologies

Computer SkillsDatabase Management

Industry Keywords

Medicare ComplianceMedicaid ComplianceHIPAA RegulationsFinancial ServicesHealthcare Administration

About the role

Key responsibilities & impact

Review, analyze, and validate clinical documentation for payer compliance and billing readiness
Collect and manage patient eligibility documents, including prescriptions, CMNs/LMNs, clinical notes, labs, and prior authorizations
Resolve pending revenue by reconciling documentation with outstanding charges
Request and track prior authorizations, including coordination with state Medicaid programs
Identify documentation trends and recurring issues, escalating and educating internal teams and provider offices
Ensure compliance with Medicare, Medicaid, HIPAA, and private insurance regulations
Generate and manage electronic documentation requests to physicians and insurance companies
Communicate with physician offices and payers to obtain missing or incomplete documentation
Collaborate with sales, support, and customer service teams to support timely billing
Maintain and update physician databases
Provide backup support for customer service inquiries
Meet productivity, quality, and attendance standards
Perform other duties as assigned

Requirements

What you’ll need

High School Diploma or equivalent work experience required
One (1) year of administrative experience, including insurance, billing, claims, call center, or financial services
Strong problem-solving skills with attention to detail
Strong verbal and written communication
Excellent customer service skills
Proficient computer and system skills
Ability to work in a fast-paced environment inclusive of multi-tasking
Background check required for all roles
Motor Vehicle Record Check required for all driving roles

Benefits

Comp & perks

Support, development, and advancement opportunities
Competitive compensation and incentives
Comprehensive medical, dental, and vision coverage (eligible first of the month following hire)
401(k) with company match
Paid Time Off Plans including 6 paid holidays
Employee Stock Purchase Plan
Paid Parental Bonding Leave
Short and Long-term Disability Insurance
Life and AD&D Insurance
Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)
CVS Minute Clinic and Teledoc access
Spousal Advantage Reimbursement Plan
Identity Theft Protection and Legal Plan