Credentialing Auditor & Training Leader

AdventHealth; Tampa (FL); On-site; USD 30,000 - 56,000; Full time

Benefits offered by this job

Benefits from Day One

Paid Time Off

403-B Retirement Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Tampa, FL, is seeking a Credentialing Auditor to ensure accuracy and compliance across credentialing, reappointment, and provider enrollment files. The role involves analyzing audit findings, creating training programs, and supporting regulatory submissions.

You will develop standard operating procedures, educate staff on credentialing standards, and collaborate with multi-site teams to uphold accreditation and payer requirements.

Qualifications

• 3+ years in hospital credentialing, managed care credentialing, or provider enrollment.
• Experience with primary source verification and credentialing audits.
• Ability to train staff and develop SOPs.
• Strong written and verbal communication skills.
• Preferred CPCS or CPMSM certifications.

Responsibilities

• Audit credentialing, reappointment, and provider enrollment files for accuracy and compliance.
• Identify errors, gaps, and trends; produce detailed audit reports with corrective actions.
• Prepare and support audit documentation for regulatory submissions.
• Develop and maintain audit criteria and checklists; propose process improvements.
• Create onboarding and ongoing training programs for credentialing staff; produce SOPs and reference guides.
• Deliver targeted trainings based on audits and performance trends.
• Collaborate with team leads to ensure consistency across multi-site operations.
• Perform other duties as assigned.

Skills

Primary source verification

Attention to detail

Verbal communication

Training staff

Independent work

Auditing experience

Education

High School diploma

Bachelor’s degree

Job description

AdventHealth in Tampa, FL, is seeking a Credentialing Auditor to ensure accuracy and compliance across credentialing, reappointment, and provider enrollment files. The role involves analyzing audit findings, creating training programs, and supporting regulatory submissions.

You will develop standard operating procedures, educate staff on credentialing standards, and collaborate with multi-site teams to uphold accreditation and payer requirements.