Provider Credentialing & Compliance Specialist

University of Utah Health; Salt Lake City (UT); On-site; USD 45,000 - 60,000; Full time

Job summary

University of Utah Health seeks a Credentialing Specialist to manage monthly credentialing and re-credentialing for medical and allied health staff, ensuring regulatory compliance and data accuracy. You will maintain provider records, coordinate with Epic system updates, and support audits.

Strong communication and confidentiality are essential. Responsibilities include maintaining documentation, analyzing data, and assisting internal departments with credentialing projects, to ensure timely

Qualifications

• Understanding of credentialing standards and regulations.
• Ability to maintain confidentiality of records and communications.
• Strong organizational and research skills.
• Detail-oriented with good documentation practices.

Responsibilities

• Facilitates monthly credentialing and three year re-credentialing process for medical and allied health professional staff to ensure compliance with the bylaws and regulatory requirements.
• Implements process improvements as necessary to increase efficiency while ensuring compliance with bylaws and regulatory requirements.
• Participates in annual audits of the credentialing program.
• Maintains all credentialing documentation and provider updates to ensure reliable, efficient retrieval of information by staff.
• Analyzes data between provider database and Epic and reporting discrepancies.
• Maintains data integrity in provider database regarding credentialing information.
• Assists with completion of special projects as requested by various internal departments or in support of requests from regulatory agencies, contracting agencies or other internal/external organizations.
• Exhibits excellent customer relations with office visitors, department coordinators, committee members, coworkers and outside contacts through events such as provider education fairs and seminars.

Skills

Credentialing knowledge

Regulatory compliance

Communication skills

Data integrity

Education

Bachelor's degree in Healthcare or Business Management

Two years of related experience

Tools

Microsoft Excel

Microsoft Word

Microsoft Access

Job description

University of Utah Health seeks a Credentialing Specialist to manage monthly credentialing and re-credentialing for medical and allied health staff, ensuring regulatory compliance and data accuracy. You will maintain provider records, coordinate with Epic system updates, and support audits.

Strong communication and confidentiality are essential. Responsibilities include maintaining documentation, analyzing data, and assisting internal departments with credentialing projects, to ensure timely