Hospital Credentialing Coordinator- Medical Administration- Remote

Virginia Commonwealth University Health Systems; Richmond (VA); Remote; USD 45,000 - 75,000; Full time

Job summary

An established industry player is seeking a Credentialing Coordinator to oversee the credentialing and privileging processes for medical staff. This role emphasizes strong organizational skills and attention to detail, ensuring compliance with regulatory standards while fostering relationships with clinicians. Ideal candidates will have significant experience in credentialing, proficiency in relevant software, and the ability to work independently in a fast-paced environment. This position offers the flexibility of remote work, with a preference for candidates located in Virginia, Tennessee, Florida, North Carolina, or Maryland. Join a dedicated team that values professionalism and integrity in healthcare.

Qualifications

• 3+ years of credentialing experience in a hospital or managed care setting.
• Proficiency with Microsoft Office and credentialing software.

Responsibilities

• Manage all aspects of credentialing and privileging for clinicians.
• Ensure compliance with hospital bylaws and regulatory standards.

Skills

Credentialing Experience

Medical Terminology

Microsoft Office

Attention to Detail

Communication Skills

Education

Associates or Bachelors Degree

Tools

Credentialing Software

Job description

Job Title: Credentialing Coordinator (Remote with Preference for In-Person in Virginia)

This is a remote position that requires candidates to be located in Virginia, Tennessee, Florida, North Carolina, or Maryland.

We are seeking an experienced professional in credentialing, specifically with at least 3 years of hospital credentialing experience. This experience should include processing initial and reappointment applications with a focus on assessing privileges.

Responsibilities:

• Manage all aspects of initial credentialing, re-credentialing, and privileging for clinicians on medical and allied health staff at VCU Health System Hospitals.
• Interact with clinicians to obtain applications and documents, evaluate data for accuracy and completeness, monitor receipt, and follow up to ensure timely processing.
• Notify supervisor or director of any adverse, incomplete, or questionable data.
• Work independently, assess situations, consider alternatives, and determine appropriate actions.
• Maintain confidentiality and professional discretion.
• Ensure compliance with hospital bylaws, JCAHO, NCQA, and other regulatory standards.
• Assist the Director in the development, planning, and organization of the Medical Staff Office operations.
• Attend medical staff committee meetings as directed and support medical staff officers and departments.

Qualifications:

• Required: Minimum of 3 years of credentialing and medical terminology experience in a hospital or managed care setting; proficiency with Microsoft Office (Access, Word, Excel) and credentialing software; Associates or Bachelors degree or equivalent experience.
• Preferred: 5+ years of credentialing experience; familiarity with JCAHO, URAC, NCQA guidelines; Certified Provider Credentialing Specialist (CPCS); Certified Professional in Medical Services Management (CPMSM).

Additional Requirements:

• Express ideas clearly and concisely; prioritize work effectively; develop strong relationships with team members.
• Highly motivated, organized, and detail-oriented with the ability to multi-task under pressure.
• Knowledge of applicable laws, regulations, and standards.
• Physical requirements include lifting 20-50 lbs., prolonged standing, walking, bending, reaching, and mental acuity for reasoning, problem-solving, and communication.

Other Details:

This position can be remote, but in-person work is preferred. Candidates must reside in Virginia, Tennessee, Florida, North Carolina, or Maryland.

EEO Employer/Protected Veteran status.