Credentialing Coordinator

Aspire Health and Community Services; Braintree (MA); In loco; USD 32.000 - 38.000; Tempo pieno

Descrizione del lavoro

Aspire Health and Community Services is seeking a Credentialing and Medical Records Coordinator to support the Compliance & Quality Department. This role ensures accuracy of documentation in electronic and paper records and supports credentialing operations, audits, and reporting.

The position emphasizes cross-functional collaboration with IT, Billing, and Program Managers, training, data validation, and regulatory compliance. Travel to programs is occasional.

Competenze

• Learn and master basic concepts of medical record-keeping requirements.
• Excellent written and verbal communications.
• Able to follow directions and work independently and as a team.
• Concurrently handle multiple tasks and carry out multiple short- and long-term projects.
• Perform detailed work accurately and take initiative to learn new tasks.
• Strong analytic, critical thinking, interpersonal, and organizational skills.
• Ability to maintain confidentiality and handle highly sensitive information with discretion.
• Occasional travel to programs

Mansioni

• Supports daily Health Information Management (HIM) operations.
• Responds to release of information requests, audits, and investigations in a timely and professional manner.
• Manages and processes paper medical records stored both on- and off-site.
• Coordinates with the off-site storage vendor to retrieve or manage records.
• Runs scheduled and ad hoc reports from the EHR system to monitor documentation completion and accuracy.
• Assists staff in understanding and using report data to improve documentation.
• Leads EHR error correction efforts and tracks resolution timelines.
• Conducts access audits and monitors usage patterns of the EHR.
• Assists in training new and existing staff on EHR functionality and documentation expectations.
• Helps develop and update training materials related to EHR and HIM procedures.
• Collaborates with IT, Billing, and Program Managers to troubleshoot and resolve documentation-related issues.
• Performs administrative support duties for credentialing processes.
• Assists in onboarding new staff by gathering and submitting required credentialing documentation.
• Serves as a liaison to the primary source verification vendor and tracks the progress of submitted credentials.
• Coordinates provider enrollment and roster management with contracted payers.
• Maintains credentialing and recredentialing records, ensuring licenses, certifications, and registrations remain current.
• Supports quality, compliance, operational, and financial initiatives through credentialing documentation and regulatory reporting.
• Assists with audits of clinical supervision documentation and compliance with organizational and regulatory requirements.
• Responds to internal and external inquiries from managers, staff, and regulatory bodies regarding credentialing.
• Contributes to department quality improvement and compliance initiatives.
• Participates in internal audits and special projects.
• Supports data validation and reporting related to quality measures and compliance indicators.

Conoscenze

Communication skills

Organizational skills

Attention to detail

Confidentiality

Independent worker

Team player

Formazione

Associate degree preferred

Strumenti

Office 365

Descrizione del lavoro

Aspire Health and Community Services recognizes that attracting and retaining exceptional staff is the key to providing excellent care for our clients. Whether a staff member is providing direct care to those we serve or working on the administrative end supporting the services we are proud to provide, each person’s contribution is highly valued.

Our mission, vision and values are supported by organizational culture guiding the work for every staff member:We are one compassionate, accountable community.

Working at Aspire Health and Community Services can provide enormous job satisfaction. Your contribution is serving to help fulfill a mission, vision and values that support our belief that mental health is the foundation of a person’s overall health and we work to foster an environment that is safe and supportive and free of judgement or prejudice around mental health. In addition, Aspire Health and Community Services offers a competitive package of compensation and benefits.

The Credentialing and Medical Records Coordinator is a cross-functional support role within the Compliance & Quality Department, reporting to both the Senior Health Information Management Supervisor and the Senior Director of Quality and Risk,. This position is responsible for ensuring the accuracy, completeness, and integrity of documentation in our electronic and paper medical records systems and providing direct support to credentialing operations. This role plays a key part in maintaining high-quality standards and supporting compliance with documentation, data access, and regulatory requirements..

Job Functions

Health Information Management Support

• Supports daily Health Information Management (HIM) operations.
• Responds to release of information requests, audits, and investigations in a timely and professional manner.
• Manages and processes paper medical records stored both on- and off-site.
• Coordinates with the off-site storage vendor to retrieve or manage records.

EHR Oversight and Reporting

• Runs scheduled and ad hoc reports from the Electronic Health Record (EHR) system to monitor documentation completion and accuracy.
• Assists staff in understanding and using report data to improve documentation.
• Leads EHR error correction efforts and tracks resolution timelines.
• Conducts access audits and monitors usage patterns of the EHR.

Training and Collaboration

• Assists in training new and existing staff on EHR functionality and documentation expectations.
• Helps develop and update training materials related to EHR and HIM procedures.
• Collaborates with IT, Billing, and Program Managers to troubleshoot and resolve documentation-related issues.

Credentialing Support

• Performs administrative support duties for credentialing processes.
• Assists in onboarding new staff by gathering and submitting required credentialing documentation.
• Serves as a liaison to the primary source verification vendor and tracks the progress of submitted credentials.
• Coordinates provider enrollment and roster management with contracted payers.
• Maintains credentialing and recredentialing records, ensuring licenses, certifications, and registrations remain current.
• Supports quality, compliance, operational, and financial initiatives through credentialing documentation and regulatory reporting.
• Assists with audits of clinical supervision documentation and compliance with organizational and regulatory requirements.
• Responds to internal and external inquiries from managers, staff, and regulatory bodies regarding credentialing.

Quality and Compliance Support

• Contributes to department quality improvement and compliance initiatives.
• Participates in internal audits and special projects.
• Supports data validation and reporting related to quality measures and compliance indicators.

Minimum Knowledge and Skills Required

• Demonstrated ability to learn and master basic concepts of medical record-keeping requirements.
• Excellent communications skills, written and verbal.
• Able to follow directions and work independently and as a member of a team.
• Concurrently handle multiple tasks and carry out multiple short- and long-term projects.
• Perform detailed work accurately and take initiative to learn new tasks.
• Strong analytic, critical thinking, interpersonal, and organizational skills.
• Ability to maintain confidentiality and handle highly sensitive information with discretion.
• Intermediate proficiency with Office 365 applications.
• Occasional travel to programs

Education

• Associate degree in human service, health care administration, business administration, or related field preferred.

Experience

• 1 years’ experience in a health care or human service system preferred.

Compensation is based on candidate experience, qualifications, and certifications and licenses. Annual ranges listed are based on a full-time, 40 hours per week position.

Salary Range

$23.08 - $27.88 USD

Aspire Health and Community Services is committed to and passionate about diversity, equity, and inclusion. We celebrate, support, and promote diversity of thought, culture, and backgrounds. As an employer committed to equal opportunity, we base all employment decisions on each individual’s capabilities and qualifications, without regard to race, color, religious creed, national origin, ancestry, sex, sexual orientation, gender identity, age, physical or mental disability, veteran status, genetics, or any other protected characteristic. Aspire Health and Community Services strives to fully reflect the clients and communities we serve and believes that a diversity of interests and cultures leads to a stronger and more innovative organization.