More jobs:
Credentialing Auditor - Credentialing
Job in
Texarkana, Bowie County, Texas, 75503, USA
Listed on 2026-01-12
Listing for:
Academy of Managed Care Pharmacy
Full Time
position Listed on 2026-01-12
Job specializations:
-
Healthcare
Healthcare Administration, Healthcare Compliance, Healthcare Management, Medical Billing and Coding
Job Description & How to Apply Below
Description
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.
- 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
8AM - 5PM Monday-Friday
Work TypeFull Time
#J-18808-LjbffrTo View & Apply for jobs on this site that accept applications from your location or country, tap the button below to make a Search.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
Search for further Jobs Here:
×