Documentation Specialist

Job Title: Documentation Specialist

Location: Lake Mary, FL 32746

Duration: 12 months

Work Arrangement: 100% Onsite

Job Summary:

The Documentation Coordinator serves as the primary liaison between Revenue Cycle Management, provider offices, hospitals, referral sources, clinical teams, and internal stakeholders to obtain the documentation necessary to support medical necessity appeals and denial resolution efforts.

This role is responsible for driving provider engagement, resolving documentation gaps, managing escalations, coordinating appeal readiness activities, and supporting reimbursement recovery efforts. The position requires a strong understanding of reimbursement methodologies, medical necessity requirements, appeals, authorizations, and healthcare revenue cycle operations.

The Documentation Coordinator will play a critical role in supporting the remediation of approximately 8,500 patient accounts and 17,000 documentation requests identified through the Medical Necessity Denial Burndown Initiative.

Job Responsibilities:

Provider & Physician Outreach

• Contact physician offices to obtain missing medical necessity documentation.
• Establish relationships with provider offices and referral sources.
• Coordinate document collection efforts with clinical teams.
• Follow up on outstanding documentation requests.
• Engage providers on high-priority and aging accounts.
• Resolve barriers impacting documentation retrieval.
• Support physician education regarding required documentation.

Medical Necessity Denial Resolution

• Review denial reasons and identify required supporting documentation.
• Support preparation of appeal and redetermination packages.
• Analyze payer requirements for documentation sufficiency.
• Identify clinical documentation deficiencies.
• Coordinate efforts to obtain missing records, test results, treatment plans, and supporting evidence.
• Partner with reimbursement specialists to support denial overturn efforts.

Escalation Management

• Manage high-dollar and high-risk reimbursement escalations.
• Escalate unresolved provider issues to leadership.
• Coordinate cross-functional problem-solving activities.
• Support urgent payer requests and audit-related inquiries.
• Facilitate rapid resolution of critical claim barriers.

Operational Coordination

• Partner with:
• Appeals Team
• Reimbursement Specialists
• Clinical Operations
• Patient Experience
• Payor Relations
• Finance
• Revenue Cycle Leadership
• Maintain documentation inventory status.
• Participate in operational reviews.
• Identify workflow improvement opportunities.
• Support process optimization initiatives.

Reporting & Analytics

• Maintain documentation status updates.
• Track open and closed documentation requests.
• Monitor denial inventory aging.
• Report trends impacting reimbursement.
• Identify recurring documentation deficiencies.
• Provide leadership reporting and recommendations.

Required Qualifications:

Education

• High School/ Bachelors
• Equivalent healthcare operations experience may be substituted.

Experience

• 1+ years healthcare revenue cycle experience.
• Experience with:
• Front Office Administration or Customer Service
• Billing
• AR Collections
• Medical
• Records Department or HIM Department

Preferred Qualifications:

• Customer Service or Administrative positions in healthcare
• Experience supporting audit responses.
• Knowledge of Letters of Medical Necessity (LMNs).
• EPIC, Labcorp, XiFin, Salesforce, and reporting tools experience.
• Microsoft Office., Good typing skills

Success Metrics:

• Documentation retrieval turnaround time.
• Appeal readiness rate.
• Denial overturn rate.
• Revenue recovery supported.
• Provider response rate.
• Inventory reduction.
• Escalation resolution timelines.
• Customer satisfaction.

Consultants Eligible Benefits Upon Waiting Period:

• Medical and Prescription Drug Plans
• Dental Plan
• Vision Plan
• Health Savings Account (for High Deductible Health Plans)
• Flexible Spending Accounts (Health, Limited Purpose, Dependent Care, Commuter Parking and Commuter Transit)
• Supplemental Life Insurance
• Short Term Disability (coverage varies by state)
• Long Term Disability
• Critical Illness, Hospital coverage, Accident Insurance
• MetLife Legal, MetLife ID Fraud, and MetLife Pet Insurance
• 401(k)

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritional and branded generic medicines.

Working together, Abbott and Talent Solutions partner to deliver top talent for contingent roles at Abbott, building better and healthier lives. Abbott believes all employees are essential to creating life-changing breakthroughs, performing key duties to create life-changing breakthroughs.