Credentialing & Compliance Coordinator I

University of Rochester; United States; On-site; USD 37,000 - 52,000; Full time

Job summary

University of Rochester is seeking a Credentialing Coordinator within URMC Medical Staff Services in Rochester, NY. You will coordinate credentialing activities, privileging, and primary source verifications to ensure practitioner quality and patient safety.

Responsibilities include updating governing documents, supporting NCQA accreditation processes, conducting ongoing monitoring, and collaborating with MSS leadership and national/state stakeholders to stay current with regulatory standards.

Qualifications

• Experience coordinating credentialing, privileging, and primary source verifications.
• Knowledge of NCQA accreditation standards and survey processes.
• Ability to develop and update governing documents and policies.
• Strong collaboration with management and regulatory bodies.

Responsibilities

• Coordinate departmental activities to ensure practitioner credentialing quality and patient safety.
• Assist with NCQA Accreditation applications, surveys, payments, and scheduling.
• Complete monthly ongoing monitoring for active providers and quarterly quality metrics.
• Represent MSS and the CVO in regulatory audits and Joint Commission activities.
• Provide staff education on medical staff bylaws, policies, and procedures.
• Collaborate with national and state leaders to stay current with evolving standards.

Skills

Coordination

Regulatory compliance

NCQA accreditation

Staff education

Quality improvement

Regulatory audits

Policy development

Job description

University of Rochester is seeking a Credentialing Coordinator within URMC Medical Staff Services in Rochester, NY. You will coordinate credentialing activities, privileging, and primary source verifications to ensure practitioner quality and patient safety.

Responsibilities include updating governing documents, supporting NCQA accreditation processes, conducting ongoing monitoring, and collaborating with MSS leadership and national/state stakeholders to stay current with regulatory standards.