Credentialing & Medical Records Coordinator

Aspire Health and Community Services; Braintree (MA); Presencial; USD 32.000 - 38.000; Jornada completa

Descripción de la vacante

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.

Formación

• 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

Responsabilidades

• 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.

Conocimientos

Communication skills

Organizational skills

Attention to detail

Confidentiality

Independent worker

Team player

Educación

Associate degree preferred

Herramientas

Office 365

Descripción del empleo

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.