Credentialing Auditor-Staff Credentialing
Company: Christus Health
Location: Irving
Posted on: June 25, 2025
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Job Description:
Description Summary: Responsible for auditing all complete
credentialing applications and to build sound, effective and
efficient audit processes. Responsibilities: • Coordinate and
execute credentialing audits by analyzing provider files for
completeness, accuracy, consistency, gaps in employment history,
pertinent references, etc. • Prepare credentialing audit reports
and assist in the development of staff training guides, policies,
and procedures. • Manages multiple concurrent audits, plan audits,
and related projects while ensuring that all audit tools meet NCQA,
TJC, and CMS requirements. • Responsible for educating and
re-educating Associates. • Maintains strict confidentiality over
all information and data. • Completes as-assigned miscellaneous
work-related tasks. • Consistently meets weekly performance
metrics. • Monitors the Credentialing Coordinators' quality metrics
and identifies areas for improvement. Requirements: - Bachelor's
Degree preferred - High School or equivalent required - 3 years of
experience in medical staff and/or managed care credentialing
preferred - Certified Provider Credentialing Specialist (CPCS)
preferred Work Type: Full Time
Keywords: Christus Health, Denton , Credentialing Auditor-Staff Credentialing, Accounting, Auditing , Irving, Texas
