Apply Now Supervisor Credentialing Auditor Job in Irving

Summary:

Responsible for oversight of auditing on all completed CVO credentialing applications and to build sound, effective, and efficient audit processes. Position will require supervision of department auditors.  

• Oversight of coordination and conduct credentialing audits, analyzing profile 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, plans audits, and related projects ensuring all audit tools comply with NCQA, TJF, and CMS requirements.
• Coordinates the credentialing and re-credentialing process for assigned providers
• Education and training of associates on best practices 
• Supervise team of auditors, and ensure monthly metrics/standards are met.  

Requirements:

• Bachelor's degree preferred
• Minimum 5 years working in medical staff and managed care credentialing
• CPCS certification preferred  

Work Type: 

Full Time