CVO Coordinator, Credentialing (Remote)

University Hospitals; Cleveland (OH); Remote; USD 60,000 - 75,000; Full time

Job summary

University Hospitals in Cleveland is seeking a CVO Coordinator to oversee the initial credentialing process, analyze primary source verification data, and maintain integrity in the credentialing database.

Under supervision, the role functions as an agent of the protected peer review process and supports onboarding and enterprise credentialing information management across departments.

Qualifications

• Requires strong knowledge of credentialing processes and standards.
• Experience with data audits and quality controls.
• Ability to train new team members.

Responsibilities

• Oversee and analyze initial credentialing applications and verifications.
• Maintain data quality and integrity in credentialing systems.
• Ensure compliance with Joint Commission, CMS, NCQA standards and related regulations.
• Assist with onboarding and training of new staff in credentialing.
• Support integration of acquisitions and set up staff records in MSOW.
• Assist system manager with development of electronic work processes in the credentialing database.
• Participate in testing and rollout of new database modules and upgrades.
• Review initial appointment files to ensure requirements are met and records are properly updated.

Skills

Credentialing analysis

Data integrity

Regulatory knowledge

Onboarding training

Tools

MSOW

Credentialing database

Job 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.