Credentialing & Compliance Specialist

University of Southern California; Los Angeles (CA); On-site; USD 41,000 - 65,000; Full time

Job summary

Keck Hospital of USC is seeking a Credentialing Coordinator to ensure practitioner credentialing complies with policies, bylaws, and regulatory standards. You will prepare and audit practitioner files, monitor processing status, and alert for adverse information, maintaining confidentiality.

Responsibilities include handling initial credentialing, reappointments, data verification, and coordination with Medical Staff Offices and departments to meet start and reappointment dates, while adhering

Qualifications

• High school diploma or equivalent required.
• Bachelor's degree in related field preferred.
• Five years credentialing experience preferred.
• Experience in medical group credentialing/provider enrollment preferred.
• Hospital or multi-entity credentialing experience preferred.
• Knowledge of Joint Commission, DNV, AAHC, NCQA standards, Title 22, and CMS regulations.
• Knowledge of medical staff principles, practices, quality assessment and legal concepts.
• LA City Fire Life Safety training required within 30 days of hire.

Responsibilities

• Process initial credentialing and reappointment applications timely.
• Verify information and maintain practitioner files.
• Coordinate with offices and departments to ensure start and reappointment dates.
• Maintain credentialing databases and ensure data accuracy.
• Query licensing boards and agencies for primary sources.
• Ensure notices of expiring credentials and renewals are sent.

Skills

Credentialing experience

Knowledge of standards

Data confidentiality

Education

High school diploma or equivalent

Bachelor's degree in related field

Tools

Credentialing software

Job description

Keck Hospital of USC is seeking a Credentialing Coordinator to ensure practitioner credentialing complies with policies, bylaws, and regulatory standards. You will prepare and audit practitioner files, monitor processing status, and alert for adverse information, maintaining confidentiality.

Responsibilities include handling initial credentialing, reappointments, data verification, and coordination with Medical Staff Offices and departments to meet start and reappointment dates, while adhering