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Req. No

115598

Job Title

Credentialing Coordinator

Market

CHRISTUS System Office

Category

Clinical Support

Facility

CHRISTUS Corp Irving Offices 919 and 909 Buildings

Address

919 Hidden Ridge
Irving, TX  75038
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Type

FULL TIME

Credentialing Coordinator Job in Irving

Job Description

Summary:

Responsible for leading, coordinating, monitoring, and maintaining the credentialing expireables process. Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing. Responsible for the accuracy and integrity of data within the credentialing database.

  • Conducts thorough investigation, research, and primary source verification of all expireables.
  • Identifies issues that require additional investigation and evaluation, validates discrepancies, and ensures appropriate follow-up.
  • Prepares and sends monthly expireables reports to clients.
  • Responds to inquiries from other healthcare organizations, interfaces with internal/ external customers on day-to-day expireables issues as they arise.
  • Meets weekly performance metrics which includes: amount of expireables completed and data integrity.
  • Utilizes and maintains the credentialing database, optimizing efficiency, and performs queries, reports, and document generation.
  • Monitors the initial, reappointment, and expireables process for practitioners, ensuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, Federal/State), bylaws, policies/procedures, and delegated agreements
  • Maintains strict confidentiality of all data and information.
  • Performs miscellaneous job-related duties as assigned.

Requirements:

  • High School Diploma or GED
  • Minimum of at least one (1) year experience related to hospital or managed care credentialing.
  • Certified Provider Credentialing Specialist (CPCS) preferred

Work Type:

Full Time


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Credentialing Coordinator