Credentialing Specialist

Job Description :

Job Title : Credentialing Specialist

Duration : 2+ Months

Location : New York, NY 10004

Description :

The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging for Medical Staff, Allied Health Professionals, and all other providers as outlined in the corporate policy and procedures, or hospital bylaws. Utilize MD Staff credentialing software application to perform and monitor all credentialing / background checks, while maintaining accuracy and data integrity. Responsible for interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing. This is not a remote job and all work is performed on site.

BA Degree Required 1-2yrs experience in Credentialing- particularly with OPPE / FPPE process is strongly preferred MD Stat Preferred CPMSM or CPCS is preferred The Quality Coordinator / Specialist is responsible for facilitating the Peer Review, Ongoing Professional Practice Evaluation (OPPE), and Focused Professional Practice Evaluation (FPPE) functions utilizing MD Stat Peer review software. Key role also include assigning performance cards and reviewers in MD Stat, as well as, analyzing, extracting and reporting on data. Responsible for interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing.