Address
Form of workBuilding Location:
Support Services Center - Fargo
Department:
45400 Medical Staff Office
Job Description:
Develop, document, implement, review, and maintain credentialing process and training guides. Implement a departmental review process of credentialing files to ensure compliance with Joint Commission (JC) and National Committee for Quality Assurance (NCQA) standards. Conducts audits and quality assurance activities related to credentialing. Problem solves and identifies areas for improvement and additional training opportunities within the credentialing process. Provides ongoing training to employees. Ensures accurate record keeping in the credentialing database. Involved in department performance improvement. Completes special projects as assigned and serves as a project coordinator for department initiatives.
Education Qualifications:
Educational Requirements:
Key Responsibilities:
Required Qualifications:
Preferred Qualifications:
Licensure/Certification Qualifications:
FTE:
1
Possible Remote/Hybrid Option:
Remote
Shift Rotation:
Day Rotation (United States of America)
Shift Start Time:
Shift End Time:
Weekends:
Holidays:
No
Call Obligation:
No
Union:
Union Posting Deadline:
Support Services Center - Fargo
Department:
45400 Medical Staff Office
Job Description:
Develop, document, implement, review, and maintain credentialing process and training guides. Implement a departmental review process of credentialing files to ensure compliance with Joint Commission (JC) and National Committee for Quality Assurance (NCQA) standards. Conducts audits and quality assurance activities related to credentialing. Problem solves and identifies areas for improvement and additional training opportunities within the credentialing process. Provides ongoing training to employees. Ensures accurate record keeping in the credentialing database. Involved in department performance improvement. Completes special projects as assigned and serves as a project coordinator for department initiatives.
Education Qualifications:
Educational Requirements:
- Associates degree or equivalent experience
Key Responsibilities:
- Quality Review of Credentialing files for National Committee for Quality Assurance (NCQA) and Joint Commission (JC) compliance
- Conducts audits and quality assurance activities related to credentialing
- Training of new team members, creates and updates training materials, provides department training as needed
- Project coordination for the Medical Staff Services Department
- Identifies opportunities and areas for improvement within the credentialing process, partners with the Supervisor and Director to address
- Ensures accurate data entry into the credentialing database
- Tracks quality measures to identify trends with team members
- Conducts research on best practices
- Other duties as assigned
Required Qualifications:
- 3 years credentialing or equivalent experience
Preferred Qualifications:
- NAMSS (National Association of Medical Staff Services) certification; either CPCS (Certified Credentialing Specialist) or CPMSM (Certified Professional Medical Services Management)
- Working knowledge of medical staff/provider credentialing concepts and comprehensive knowledge of state, federal regulatory requirements and accreditation standards relating to the organized medical staff
- Training and quality assurance experience
Licensure/Certification Qualifications:
FTE:
1
Possible Remote/Hybrid Option:
Remote
Shift Rotation:
Day Rotation (United States of America)
Shift Start Time:
Shift End Time:
Weekends:
Holidays:
No
Call Obligation:
No
Union:
Union Posting Deadline:
