Credentialing Coordinator

• Oversee the initial credentialing process
• Analyze and evaluate primary source verification data and documents
• Perform data entry and maintain data integrity in the credentialing database
• Analyze and process initial applications using independent critical thinking and investigative review
• Maintain knowledge of and adhere to hospital and external accreditation and regulatory standards, including Joint Commission, CMS, and NCQA
• Serve as a content expert and participate in onboarding and training new team members
• Apply current trends and practices in credentialing
• Assist with initial credentialing projects
• Manage data quality and integrity for web-based applications through systematic audits
• Analyze and manage credentialing database data according to strict data standards
• Manage pending staff database records
• Support integration of new hospital acquisitions by setting up staff records in MSOW, organizing scanned files, and training new team members
• Assist the CVO System Manager with creating electronic work processes in the credentialing database
• Participate in development of new technologies and database modules and perform upgrade testing
• Audit initial appointment files for newly credentialed providers and status/privilege changes
• Ensure requirements are met and set up practitioner records that feed multiple downstream systems
• Perform other duties as assigned and comply with organizational policies and standards
• Maintain the security and appropriate use of patient PHI

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