CVO Coordinator, Credentialing

Mobile

United States

Remote

USD 55,000 - 75,000

Full time

3 days ago

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Job summary

UHHS Health System in Ohio is seeking a CVO Credentialing Coordinator to oversee initial credentialing, data integrity and system audits. You will verify primary source data, manage staff records in the credentialing database and participate in onboarding for new hospital acquisitions.

You will ensure compliance with Joint Commission, CMS and NCQA standards, train new staff, and support process improvements in credentialing workflows.

Qualifications

Bachelor’s degree required; 3 years credentialing accepted in lieu.
3+ years in a healthcare credentialing role; 2+ years in database use.
Experience with Joint Commission, CMS, NCQA standards.
NAMSS CPCS and/or CPMSM certification within 5 years.

Responsibilities

Analyzes and processes initial applications with independent critical thinking.
Maintains knowledge of accreditation standards (Joint Commission, CMS, NCQA).
Serves as content expert and trains new team members
Manages data quality and integrity in credentialing systems
Audits initial appointment files and sets up practitioner records
Supports onboarding of new hospital acquisitions and system upgrades

Skills

Analytical skills

Communication

Listening skills

Executive interaction

Critical thinking

Prioritization

Medical terminology

Organizational skills

Multi-tasking

MS Office

Adobe Acrobat Pro

Credentialing database

Process audits

Attention to detail

Education

Bachelor’s Degree

3 years credentialing experience in lieu

Tools

MSOW

Credentialing database

Job description

CVO Coordinator, Credentialing – (2600097S)

Description

A Brief Overview

The CVO Coordinator is responsible for oversight of the initial credentialing process and analyzing and evaluating primary source verification data and documents. This position is involved in data entry and integrity within the credentialing database. Under the supervision of the CVO Manager, the CVO Coordinator functions as an agent of the protected peer review process and completes functions related to enterprise credentialing information management.

What You Will Do

Analyzes and processes initial applications by utilizing independent critical thinking skills, which may involve extensive investigative review and interpretation
Maintains current knowledge of and adheres to hospital and outside accreditation and regulatory standards (Joint Commission, Centers for Medicare and Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), etc.)
Serves as a content expert and participates in onboarding and training of new team members
Utilizes current trends and practices in all aspects of credentialing
Assists with initial credentialing projects as assigned
Manages data quality and integrity for web-based applications based on defined standards through systematic audits
Analyze and manage data maintained in system credentialing database following strict data standards
Manage all pending staff database records
Assist in the integration of new hospital acquisitions, including setting up staff records in MSOW, organizing scanned files, training new team members
Assist CVO System Manager with creation of electronic work processes in the credentialing database
Participate in the development of new technologies, database modules, and upgrade testing
Audit all initial appointment files of newly credentialed providers and status/privilege changes ensuring all requirements are met and set up the practitioner records in the credentialing database which feed multiple downstream systems

Additional Responsibilities

Participate in the development of new technologies, database modules, and upgrade testing
Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Qualifications

Education

Bachelor’s Degree (Required) or
Three (3) years of direct credentialing experience accepted in lieu of bachelor’s degree.

Work Experience

3+ years of experience working in a similar role, preferably in a healthcare setting (Required) and
2+ years of experience with database utilization and data management (Required)

Knowledge, Skills, & Abilities

Strong analytical and quantitative skills (Required proficiency)
Advanced verbal, writing and editorial skills (Required proficiency)Attentive listening skills (Required proficiency)
Confidence interacting with UH Senior Leaders, Physicians, Board Members, and outside agencies (Required proficiency)
Critical thinking skills, which result in making independent procedural decisions and judgments (Required proficiency)
Skill in establishing priorities with independent coordination of day-to-day activities (Required proficiency)
Demonstrated knowledge of medical terminology (Required proficiency)
Excellent communication and organizational skills (Required proficiency)
Ability to work in a fast-paced environment (Required proficiency)
Ability to multi-task (Required proficiency)
Excellent computer skills, including knowledge of Microsoft applications, knowledge of Adobe Acrobat Professional and credentialing database experience (Required proficiency)
Work experience in performing process, operational and system audits (Required proficiency)
Analytical thinker, organized, attention to detail is essential (Required proficiency)