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Req. No

193760

Job Title

Credentialing Auditor - Staff Credentialing

Market

CHRISTUS St Michael

Category

Clinical Support

Facility

CHRISTUS St Michael Farmers Bank and Trust Office

Address

2900 St Michael Drive
Texarkana, TX  75503
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Type

FULL TIME

Credentialing Auditor - Staff Credentialing Job in Texarkana

Job Description

Summary:

Responsible for auditing all complete credentialing applications and to build sound, effective and efficient audit processes.

Responsibilities:

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • 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

Requirements:

  • Bachelor's Degree preferred
  • High School or equivalent required
  • 3 years of experience in medical staff and/or managed care credentialing preferred
  • Certified Provider Credentialing Specialist (CPCS) preferred

Work Type:

Full Time


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Credentialing Auditor - Staff Credentialing