Credentialing Coordinator: Compliance & Quality Leader

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

Job summary

Keck Hospital of USC in Los Angeles seeks a Credentialing Coordinator to manage initial credentialing, reappointment applications, and ongoing verification for practitioners in accordance with OIC policies and bylaws. The role requires meticulous record-keeping and proactive communication with applicants and client medical staff offices.

Responsibilities include QA audits, data entry across credentialing systems, facilitating reviews by committees, monitoring deadlines, and ensuring

Qualifications

• Knowledge of Joint Commission, DNV, NCQA and CMS standards, Title 22 and credentialing plans.
• Experience with medical staff services and provider enrollment is preferred.
• Ability to review training and experience documentation for required privileges.
• Familiarity with opacity and confidentiality requirements in credentialing data.

Responsibilities

• Processes initial credentialing and reappointment applications for timely review.
• Verifies information via primary sources and documents completion for committees.
• Maintains credentialing files and practitioner databases with accurate data.
• Performs audits and prepares documents for site visits and surveys.
• Monitors deadlines and coordinates with departments to obtain missing materials.
• Responds to inquiries from Medical Staff Offices and practitioners regarding credentials.
• Notifies supervisor of red flags or adverse information for potential action.
• Ensures data security and confidentiality of credentialing information.

Skills

Credentialing standards knowledge

Medical staff regulations

Data integrity

Process improvement

Communication with clients

Education

High school or equivalent

Bachelor's degree in related field

Job description

Keck Hospital of USC in Los Angeles seeks a Credentialing Coordinator to manage initial credentialing, reappointment applications, and ongoing verification for practitioners in accordance with OIC policies and bylaws. The role requires meticulous record-keeping and proactive communication with applicants and client medical staff offices.

Responsibilities include QA audits, data entry across credentialing systems, facilitating reviews by committees, monitoring deadlines, and ensuring