Job Information
Denver Health Auditor, Provider Enrollment And Credentialing in Denver, Colorado
We are recruiting for a motivated Auditor, Provider Enrollment and Credentialing to join our team!
We are here for life's journey. Where is your life journey taking you?
Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all:
Humanity in action, Triumph in hardship, Transformation in health.
DepartmentMedical Staff Services and Provider Enrollment
Job Summary
Under minimal supervision, ensures credentialing and privileging activities of the Medical Staff Services and Provider Enrollment Teams comply with requirements of regulatory and accrediting agencies including the Centers for Medicare/Medicaid Services, the Joint Commission, and the National Committee for Quality Assurance, federal and state laws and delegated credentialing agreements independently.
Essential Functions:
Audits credentials files and verifies information entered in information systems (50%) Maintains and analyzes quality data, identifies trends, and recommends corrective actions (10%) Coordinates external audit engagements and responding to complex inquiries (5%) Prepares and submits material for external audits and Corrective Action Plans (5%) Works with Coordinators in Medical Staff and Provider Enrollment to ensure audit results are identified, shared and monitored for continued compliance (10%) Works with Departments/Divisions to maintain monthly rosters and to ensure all data elements are captured appropriately (15%) Assist in the maintenance of information flowing between MD Staff and EPIC to be correct (5%) Education:
High School Diploma or GED Graduation from High School or equivalent required Required Work Experience:
4-6 years Five years of relevant experience in Medical Staff credentialing & privileging and/or Provider Enrollment Required Licenses:
Knowledge, Skills and Abilities:
MD Staff knowledge is preferred Computer proficiency in Windows, Microsoft Office, and Internet Knowledge of TJC, NCQA and CMS credentialing and enrollment standards Ability to handle multiple tasks, simultaneously Ability to interpret and apply policies and procedures Ability to communicate in a professional and positive manner Must be able to work independently and meet schedules and deadlines
ShiftDays (United States of America)
Work TypeRegular
Salary$28.99 - $42.16 / hr
Benefits
Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans
Free RTD EcoPass (public transportation)
On-site employee fitness center and wellness classes
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education & development opportunities including career pathways and coaching
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
Our Values
Respect
Belonging
Accountability
Transparency
All job applicants... For full info follow application link.