Credentialing Auditor-Staff Credentialing

Company: Christus Health
Location: Irving
Posted on: June 25, 2025

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, Tyler , Credentialing Auditor-Staff Credentialing, Accounting, Auditing , Irving, Texas