Children's Orthopaedic and Scoliosis Surgery Associates, LLP · 2 weeks ago
Credentialing, GME & Compliance Coordinator
St. Petersburg, FL
Full-time
Onsite
Mid Level
3+ years expChildren's Orthopaedic and Scoliosis Surgery Associates, LLP is seeking a Credentialing, GME & Compliance Coordinator. This role is responsible for coordinating provider credentialing and enrollment, supporting graduate medical education, and tracking compliance-related training and documentation to ensure that all stakeholders meet required standards.
Child CareHealth CareYoung Adults
Responsibilities
Coordinate initial and ongoing credentialing and re-credentialing for physicians and advanced practice providers with hospitals, facilities, and payers
Prepare, submit, and track payer enrollment and revalidation applications
Maintain credentialing files and monitor expiration dates for licensure, DEA, board certification, malpractice coverage, and hospital privileges
Serve as liaison with hospital medical staff offices, payers, and internal departments
Respond to credentialing-related audits and information requests
Coordinate onboarding, rotation scheduling, and offboarding of residents
Serve as primary administrative point of contact between the practice and affiliated residency programs and hospital GME departments
Track resident documentation, training requirements, and evaluations
Assist with GME reporting, communications, and administrative support
Track and monitor required compliance training, including HIPAA, OSHA, and other mandatory education for providers and staff
Maintain compliance training records and completion status
Coordinate annual compliance-related training schedules and reminders
Assist leadership with maintaining compliance documentation and readiness
Coordinate annual coding and billing audits with external vendors or internal stakeholders
Collect and organize documentation needed for audits and reviews
Track findings, corrective action plans, and follow-up items as directed
Support preparation for regulatory reviews or accreditation-related inquiries
Maintain databases and tracking tools related to credentialing, compliance, and GME
Prepare reports and summaries for leadership as requested
Maintain strict confidentiality of sensitive provider, employee, and patient-related information
Support special projects related to compliance, credentialing, or education
Qualification
Required
High school diploma or equivalent
3–5 years of experience in healthcare administration, credentialing, compliance support, or medical staff services
Working knowledge of provider credentialing, payer enrollment, and healthcare compliance concepts
Strong organizational, tracking, and documentation skills
Proficiency with Microsoft Office and healthcare administrative systems
Ability to manage multiple deadlines and communicate effectively
Preferred
Experience in an academic or teaching medical practice
Familiarity with HIPAA, OSHA, and healthcare compliance training requirements
Knowledge of GME processes and residency program coordination
Experience coordinating coding and billing audits
Company
Children's Orthopaedic and Scoliosis Surgery Associates, LLP
Children's Orthopaedic and Scoliosis Surgery, in collaboration with Johns Hopkins All Children's Hospital, provides specialized care across the spectrum of pediatric orthopedic services.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase