Credentialing & Compliance Specialist

University of Southern California; Los Angeles (CA); On-site; USD 86,421,000 - 134,703,000; Full time

Job summary

Keck Hospital of USC is seeking a Credentialing Coordinator to ensure timely credentialing and reappointment processes. You will manage practitioner files, verify data from primary sources, and coordinate communications with Medical Staff Offices and departments.

The role requires strong knowledge of credentialing standards, OPPE data, and collaboration with chairs and committees to meet start/reappointment dates while maintaining strict confidentiality.

Qualifications

• High school or equivalent required
• Bachelor's degree in related field preferred
• 5 years’ experience as a credentialing professional preferred
• Experience in medical group credentialing/provider enrollment preferred
• Knowledge of Joint Commission, DNV, NCQA standards, Title 22, and CMS regulations preferred
• NAMSS CPMSM or CPCS certification preferred

Responsibilities

• Processes initial credentialing and reappointment applications to Integrated Credentials Committee as applicable
• Reviews for completeness and verifies information from primary sources
• Maintains practitioner credentialing files and databases for accuracy
• Performs audits and follows up on incomplete/missing information
• Ensures confidentiality and security of credentialing data
• Monitors expiring documents and notifies stakeholders
• Coordinates meetings and supports audits and site visits

Skills

Credentialing

Provider enrollment

Data entry

Education

High school or equivalent

Bachelor's degree in related field

Job description

Keck Hospital of USC is seeking a Credentialing Coordinator to ensure timely credentialing and reappointment processes. You will manage practitioner files, verify data from primary sources, and coordinate communications with Medical Staff Offices and departments.

The role requires strong knowledge of credentialing standards, OPPE data, and collaboration with chairs and committees to meet start/reappointment dates while maintaining strict confidentiality.