Documentation Specialist

AdaptHealth

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

Posted 9/18/2026full-timeRemote • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical documentation review and compliance with Medicare, Medicaid, and HIPAA regulations, while effectively managing patient eligibility documents and prior authorizations. Strong communication and problem-solving skills are essential for collaborating with healthcare providers and ensuring billing readiness.

Highest-signal resume keywords

Clinical Documentation ReviewPayer CompliancePrior Authorization ManagementCustomer Service SkillsProblem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical DocumentationBillingClaims ManagementPatient Eligibility ManagementDocumentation AnalysisRevenue ReconciliationElectronic Documentation RequestsInsurance Regulations ComplianceMulti-TaskingAttention to Detail

Soft Skills

Verbal CommunicationWritten CommunicationCustomer ServiceTeam CollaborationAdaptability

Tools & Technologies

Computer SkillsDatabase Management

Industry Keywords

MedicareMedicaidHIPAAPrivate InsuranceContinuous Improvement

About the role

Key responsibilities & impact

Review, analyze, and validate clinical documentation to ensure 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 or recurring issues and proactively escalate and educate 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 AdaptHealth sales, support, and customer service teams to support timely billing
Maintain and update physician databases to ensure accurate communication and document delivery
Serve as backup support for customer service inquiries as needed
Meet productivity, quality, and attendance standards while contributing to a team-focused, continuous improvement culture
Perform all 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 experience
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
Company conducted Background Check is required for all roles
AdaptHealth is an equal opportunity employer

Benefits

Comp & perks

Competitive Compensation and Incentives
Comprehensive Total Rewards & Benefits
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
Support, Development, and Advancement Opportunities
Industry-Leading Care & Innovation
Responsible Environmental Stewardship