Credentialing Auditor Job in Irving
Responsible for auditing all complete credentialing applications and to build sound, effective and efficient audit processes.
- Coordinate and conduct credentialing audits analyzing provider files for completeness, accuracy, consistency, gaps in work history, relevant references, etc.
- Prepare credentialing audit reports tracking and trending auditor findings and assist in the formulation of staff training guides, policies and procedures Manages multiple concurrent audits, plan audits and related projects ensuring all audit tools comply with NCQA, TJC and CMS requirements Coordinates the credentialing and re-credentialing process for assigned providers
- Bachelor's Degree required