Medical Documentation Spec

Tactical Rehabilitation Inc.; Jacksonville (NC); On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

PTO

Paid Holidays

Sick Leave

Professional Development

Recognition Program

Uniform Stipend

Job summary

Tactical Rehab in Jacksonville, NC is seeking a Medical Documentation Specialist to manage prior authorizations, documentation accuracy, and reimbursement readiness. You will review authorizations, verify documentation and coding, and coordinate with offices on scheduling and delivery, processing fulfilled orders in the EMR.

Strong attention to detail and comfort with numbers are essential as you ensure compliant billing and timely payments while supporting patient care and regulatory

Qualifications

• High School Diploma or GED.
• Excellent written and verbal communication.
• Strong organizational, research, and problem-resolution skills.
• Ability to multitask, prioritize, and work independently in a fast-paced environment.
• Comfort working with numbers and processing financial information.
• Ability to navigate multiple internet-based billing applications.

Responsibilities

• Review incoming prior authorizations and verify that the requested product is an approved item Tactical Rehab offers.
• Process and follow up on prior authorizations through approval, denial, or resubmission.
• Confirm that patient records contain all information required for insurance reimbursement.
• Submit documentation corrections as allowed by predetermined policies.
• Initiate the office process for patient/provider contact and appointment scheduling.
• Communicate with Office Managers to facilitate corrections that cannot be processed internally.
• Verify correct coding to support prompt payment and input accurate billing information for Team Leader review.
• Create patient files so offices can contact the patient and deliver the product.
• Review Proof of Delivery (POD) packets to confirm accuracy for reimbursement.
• Process fulfilled patient orders after validating and documenting any discrepancies in the EMR.
• Learn and apply OHI (Other Health Insurance) rules, including the effect on the patient and billing and the steps to verify OHI.
• Stay current on TRICARE and Humana Military billing changes through ongoing training.
• Support billing and compliance requirements in accordance with Medicare, HIPAA, and other governmental regulations.
• Ensure compliance with company policies, safety standards, and healthcare regulations.

Skills

Written and verbal communication

Organizational skills

Multitasking

Numerical proficiency

Education

High School Diploma or GED

Tools

EMR systems

Billing software

Job description

Medical Documentation Specialist

Jacksonville, NC

Description

Tactical Rehab is seeking detail-oriented, dependable, and service-minded individuals to join our growing team as a Medical Documentation Specialist. This position plays a critical role in getting our patients the equipment they need by managing prior authorizations, documentation accuracy, and reimbursement readiness from start to finish.

As a Medical Documentation Specialist, you will review incoming authorizations, verify documentation and coding, coordinate with our offices on patient scheduling and delivery, and process fulfilled orders in the EMR. If you enjoy problem solving, take pride in accurate work, and want your attention to detail to directly improve patient care, we encourage you to apply.

Key Responsibilities

• Review incoming prior authorizations and verify that the requested product is an approved item Tactical Rehab offers.
• Process and follow up on prior authorizations through approval, denial, or resubmission.
• Confirm that patient records contain all information required for insurance reimbursement.
• Submit documentation corrections as allowed by predetermined policies.
• Initiate the office process for patient/provider contact and appointment scheduling.
• Communicate with Office Managers to facilitate corrections that cannot be processed internally.
• Verify correct coding to support prompt payment and input accurate billing information for Team Leader review.
• Create patient files so offices can contact the patient and deliver the product.
• Review Proof of Delivery (POD) packets to confirm accuracy for reimbursement.
• Process fulfilled patient orders after validating and documenting any discrepancies in the EMR.
• Learn and apply OHI (Other Health Insurance) rules, including the effect on the patient and billing and the steps to verify OHI.
• Stay current on TRICARE and Humana Military billing changes through ongoing training.
• Support billing and compliance requirements in accordance with Medicare, HIPAA, and other governmental regulations.
• Ensure compliance with company policies, safety standards, and healthcare regulations.

Qualifications

Required:

• High School Diploma or GED
• Excellent written and verbal communication skills
• Strong organizational, research, and problem-resolution skills
• Ability to multitask, prioritize, and work independently in a fast-paced environment
• Comfort working with numbers and processing financial information
• Ability to navigate multiple internet-based and billing applications

Preferred:

• Certification in Medical Billing (CMRS or equivalent)
• Six months of experience in a healthcare setting, medical office, sports rehab, fitness, or retail environment
• Experience with billing software or an EMR system
• Military service, military spouse, or familiarity with military communities

Compensation

$18.00–$28.00 per hour based on experience, qualifications, and location.

Benefits & Incentives

• Medical, Dental, and Vision Insurance
• 401(k) Retirement Plan
• Paid Time Off (PTO)
• Paid Holidays
• Sick Leave
• Professional Development Opportunities
• Employee Recognition Program
• Uniform Stipend ($130)

Certification Bonus Program

Tactical Rehab invests in employee growth and professional development.

One-Time Certification Bonuses

• Certified Medical Reimbursement Specialist (CMRS): $750
• Certified Orthotic Fitter (COF): $750
• Certified Pedorthist (CPED): $1,200
• Certified Prosthetic Practice Manager (CPPM): $1,200

Ongoing Certification Stipends

Paid each pay period while certification remains active.

Employees who maintain an active certification will receive the following stipend each pay period:

• Certified Medical Reimbursement Specialist (CMRS): $86.67 per pay period
• Certified Orthotic Fitter (COF): $86.67 per pay period
• Certified Prosthetic Practice Manager (CPPM): $86.67 per pay period
• Human Resources Certification (HRCI or SHRM): $86.67 per pay period
• Certified Pedorthist (CPED): $173.34 per pay period

Career Advancement

Tactical Rehab is committed to promoting from within. Employees who demonstrate exceptional performance and obtain professional certifications may advance into higher-level documentation, billing, and leadership roles.

Veteran-Friendly Employer

Veterans, transitioning service members, military spouses, and military family members are strongly encouraged to apply.

Tactical Rehab — Restoring Mobility. Improving Lives. Supporting Those Who Serve.

Tactical Rehab is an Equal Opportunity Employer.