Credentialing Coordinator - Integrated Credentialing - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Core
Ensures practitioner credentialing, reappointment, and ongoing monitoring comply with regulatory agencies, accrediting bodies, and client policies.
Role type
Operational Credentialing Coordinator
Builds
Accurate practitioner credential files and databases for medical staff offices and hospital clients
Domain
Healthcare administration / Medical Staff Credentialing
Deliverable
client delivery
Required skills
Regulatory compliance (Joint Commission, DNV, NCQA, CMS), primary source verification, database management, expirables tracking, audit preparation, document scanning
Preferred skills
Medical group credentialing experience, hospital multi-entity credentialing experience, NAMSS CPMSM certification
Technologies
Electronic credentialing systems, state licensing board reporting systems
Responsibilities
Process initial and reappointment applications; verify licenses, malpractice claims, and certifications; manage expiring credentials; monitor state licensing board reports for red flags; prepare files for audits and site visits; maintain practitioner databases; coordinate with department chairs and committees.
Seniority
Individual Contributor, mid-level operational role