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Novant Health · 19 hours ago

Credentialing Quality Control Coordinator

Hilton Head Island, SC

Full-time

Hybrid

Mid Level

3+ years exp

Novant Health is a healthcare provider recognized for its excellence in surgical care and patient outcomes. The Credentialing Quality Control Coordinator is responsible for managing the credentialing process for healthcare professionals, ensuring compliance with standards and regulations.

FitnessHealth CareHospitalMedical

Responsibilities

Responsible for reviewing and accepting credentialing and re-credentialing applications for physicians, advanced practice professionals according to the standards set by the Novant Health PROAC and Credentialing Council, affiliated entities’ Medical Staff Bylaws, applicable regulatory agency standards and State and Federal law

Provides guidance to help support practitioners and practice managers in the application and credentialing process

Performs other duties as assigned

Qualification

Credentialing experienceCertified Provider Credentialing SpecialistNCQA regulationsTJC regulationsCMS regulationsDiversityInclusionTeamwork

Required

High School Diploma or GED

Minimum of three years' experience in performing hospital or managed care credentialing

Certified Provider Credentialing Specialist (CPCS)

Nat'l Assoc Medical Staff Svcs as a Certified

Must have certification by the National Association Medical Staff Services as a Certified Provider Credentialing Specialist and/or Certified Professional in Medical Services Management within 5 years of employment