Documentation Specialist Jobs

About The Position

Requirements

• BA/BS degree or equivalent.
• At least 2 years of experience in technical writing, process documentation, healthcare operations, credentialing, provider enrollment, quality management, or a related field.
• Technical and procedural writing skills.
• Proficiency with Microsoft Word, Excel, PowerPoint, and SharePoint.
• Experience with process mapping and workflow documentation.
• Knowledge of document version control and records management.
• Data analysis and reporting skills.
• Strong attention to detail and quality-review skills.
• Ability to interpret and document complex business processes.
• Strong organizational and project coordination skills.
• Excellent written and verbal communication skills.
• Experience creating and maintaining desk procedures, enrollment manuals, operational policies, job aids, and training materials.
• Ability to develop provider profiles and supporting documentation for Credentialing Committee review.
• Ability to manage multiple priorities and meet deadlines in a fast-paced operational environment.
• Ability to collaborate with cross-functional teams to support compliance, quality, and operational excellence.

Nice To Haves

• Experience supporting provider enrollment, credentialing, Credentialing Verification Organization (CVO) activities, NC Medicaid, NCQA, CMS, or healthcare regulatory environments.

Responsibilities

• Create and revise desk procedures, policy interpretations, operations manuals, and supporting documentation.
• Analyze business-rule changes, policy updates, system enhancements, and operational process changes to determine documentation impacts.
• Review Functional Modification Requests submitted by customers and business stakeholders and identify needed documentation updates.
• Collaborate with operational teams, business owners, leadership, and subject matter experts to gather information for document development.
• Ensure documentation is clear, concise, standardized, and compliant with formatting and version-control requirements.
• Maintain document inventories and repositories so staff can access current versions.
• Audit existing documentation to identify outdated processes, conflicting instructions, and areas needing clarification.
• Track revisions and maintain records of document updates, approvals, and implementation dates.
• Review policy and regulatory changes for operational impact and translate complex policy language into procedures and staff guidance.
• Align documentation with NC DHHS, NCQA, and organizational requirements, and recommend process improvements based on policy and regulatory changes.
• Serve as the departmental resource for locating and interpreting documented business rules, operational requirements, and procedures.
• Respond to staff and leadership questions and provide guidance on procedure interpretation and policy application.
• Create provider profiles for Credentialing Committee review and check provider files and supporting documentation for accuracy, completeness, and compliance.
• Analyze credentialing information, summarize findings for committee consideration, and quality-review profiles before presentation.
• Redact confidential, protected, or sensitive information according to organizational policies and privacy requirements.
• Participate in daily provider profile review meetings, present profile content, address questions, and work with credentialing leadership to resolve discrepancies and documentation concerns.
• Prepare provider profiles for final presentation and attend weekly Credentialing Committee meetings to provide documentation support and answer questions.
• Document committee feedback that requires profile updates or process improvements.
• Back up the Credentialing Committee Coordinator, including assisting with meeting preparation, agendas, scheduling, communications, meeting materials, minutes, and records.
• Support NCQA, CVO, and organizational quality initiatives; update documentation for accreditation standards, audit findings, corrective actions, and process improvements.
• Assist with accreditation surveys, audits, and compliance reviews, and collaborate on documentation-related corrective actions.
• Partner with Operations, Credentialing, Compliance, Quality, IT, and Leadership to keep documentation aligned with current business practices.
• Participate in meetings, workgroups, and project discussions; communicate documentation changes and provide education to affected staff.
• Develop procedural guidance and reference materials to support training initiatives.
• Identify opportunities to improve document management and operational efficiency, and recommend improvements to standards, templates, and governance practices.
• Monitor recurring questions, trends, and audit findings for documentation gaps, and support process redesign, system implementation, and workflow optimization.

Benefits

• Comprehensive benefits and wellness packages.
• 401(k) with company match.
• Competitive pay and paid time off.
• Full-flex work weeks where possible.
• Medical plan options, including plans with Health Savings Accounts.
• Dental plan options.
• Vision plan.
• Paid vacation, sick and personal time, holidays, parental leave, military leave, bereavement leave, and jury duty leave.
• Typically 15 days of paid leave per calendar year for new employees, prorated based on hire date.
• An additional 10 paid holidays per year, prorated based on hire date.
• Paid Family Leave of up to 160 hours in a rolling 12-month period for eligible employees.
• Short- and long-term disability benefits.
• Life, accidental death and dismemberment, personal accident, critical illness, and business travel and accident insurance provided or available.
• AI-powered career tool for career steps and learning opportunities.
• Internal mobility team supporting career goals.