Associate Credentialing Coordinator

Company: Vanderbilt University Medical Center
Location: Providence
Posted on: January 26, 2023

Job Description:

Associate Credentialing Coordinator - 2214937**Job** : Medical Coding and Billing**Primary Location** : Work from Home**Organization** : Provider Credentialing 30 200607**Shift:** : First Shift**Description****Associate Credentialing Coordinator****JOB SUMMARY:**Completes timely and accurate functions related to credentialing of providers with occasional guidance. Ensures that credentialing records comply with requirements of regulatory and accrediting agencies including the Joint Commission and National Committee for Quality Assurance (NCQA), federal and state laws and delegated credentialing agreements.**KEY RESPONSIBILITIES:**+ Ensures all individuals meet qualifications of Joint Commission and NCQA Credentials Verification Organization (CVO) standards as well as other regulatory requirements and agreements.+ Works proactively to resolve issues before providers and/or patients are impacted.+ Performs primary source verification as applicable.+ Collaborates with personnel in other departments and organizations.+ Ensures appropriate documentation is maintained and that information is easily retrievable.+ The responsibilities listed are a general overview of the position and additional duties may be assigned.**TECHNICAL CAPABILITIES:**_DATA ENTRY (INTERMEDIATE):_ - The ability to transcribe information from the original source into an electronic system according to written and verbal instructions efficiently and accurately._ANALYTICAL SKILLS (NOVICE):_ - The process of identifying, evaluating, interpreting and organizing data. It includes sorting through data to identify patterns and establish relationships for decision making._DISCRETION & PRIVACY (INTERMEDIATE):_ - The ability to use and keep information confidential in a secure setting._DATA VERIFICATION (NOVICE):_ - The ability to verify data in an accurate manner._DOCUMENTATION (NOVICE):_ - Ensures that all documentation is complete, accurate, thorough, and compliant.**CORE ACCOUNTABILITIES:**+ Organizational Impact: Performs tasks that are typically routine that may impact team's performance with occasional guidance.+ Problem Solving/ Complexity of work: Utilizes some discretion and research to solve routine problems.+ Breadth of Knowledge: Applies knowledge of standards, established processes and procedure that apply to your own job.+ Team Interaction: Provides guidance to entry level co-workers.**CORE CAPABILITIES:**SUPPORTING COLLEAGUES (S2):+ - Develops Self and Others: Continuously improves own skills by identifying development opportunities.+ - Builds and Maintains Relationships : Seeks to understand colleagues priorities, working styles and develops relationships across areas.+ - Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner.DELIVERING EXCELLENT SERVICES (S2):+ - Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service.+ - Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns tosupervisors in a timely manner.+ - Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support.ENSURING HIGH QUALITY (S2):+ - Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards.+ - Ensures Continuous Improvement: Shows eagerness to learn new knowledge, technologies, tools or systems and displays willingness to go above and beyond.+ - Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department.MANAGING RESOURCES EFFECTIVELY (S2):+ - Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service.+ - Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources.+ - Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error.FOSTERING INNOVATION (S2):+ - Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them.+ - Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action.+ - Adapts to Change: Embraces change by keeping an open mind to changing plans and incorporates change instructions into own area of work.**Basic Qualifications**High School Diploma or GED (or equivalent experience) and 2 years relevant experience**Licensure, Certification, and/or Registration (LCR):****Physical Requirements/Strengths needed & Physical Demands:****Req ID:** 2214937Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.

Keywords: Vanderbilt University Medical Center, Providence , Associate Credentialing Coordinator, Other , Providence, Rhode Island