Healthcare Credentialing Lead

Sutherland; New Jersey; Remoto; USD 70.000 - 95.000; Tempo pieno

Descrizione del lavoro

Sutherland Healthcare Solutions is seeking a Credentialing Supervisor to support credentialing programs. You will relay timely credentialing reports, ensure compliance status updates, and lead credentialing quality initiatives.

Responsibilities include developing credentialing strategies from data and regulatory requirements, coaching staff, and maintaining strong communication with providers and payers. The role demands leadership in a fast-paced, data-driven setting.

Competenze

• Graduate/post-graduate with CPC/COC/CCS/CCS-P Certification by AAPC/AHIMA (required).
• Minimum 6–7 years of hands-on medical coding & credentialing experience.
• At least 2 years in a leadership role managing a team of credentialing specialists.
• Ability to work in a fast-paced environment; strong analytical skills.

Mansioni

• Prepare and relay credentialing reports and compliance status updates.
• Develop credentialing strategies based on data, regulatory requirements and observations.
• Oversee credentialing quality and compliance; coach staff.
• Maintain communications with providers, payers and internal stakeholders.
• Monitor workflows, meet timelines, and drive turnaround time improvements.

Conoscenze

Leadership

Data analysis

Regulatory knowledge

Communication skills

Team collaboration

Process improvement

Formazione

CPC/COC/CCS/CCS-P Certification

Strumenti

MS Office

Descrizione del lavoro

Sutherland Healthcare Solutions is seeking a Credentialing Supervisor to support credentialing programs. You will relay timely credentialing reports, ensure compliance status updates, and lead credentialing quality initiatives.

Responsibilities include developing credentialing strategies from data and regulatory requirements, coaching staff, and maintaining strong communication with providers and payers. The role demands leadership in a fast-paced, data-driven setting.