Physician Credentialing Coordinator

Job Description

Physician Credentialing Coordinator
This is a full-time (40 hrs/wk), hourly position on UCHealth’s Plan Administrative team based in Lone Tree, CO. Coordinates, monitors and performs the medical staff and payer credentials verification process for initial appointments, temporary privileges, and reappointments of physicians and allied health professionals.

Job Duties
• Collects, reviews and prepares data for final medical staff and allied health professionals credentials review for clinic, hospital and payer environments. Works with providers to obtain any missing information. Processes requests for additions or changes in clinical privileges.
• Ensures that requisite licenses, malpractice coverage, and certifications are current for all medical staff members and allied health professionals.
• Maintains files on medical and allied health professionals including information related to licensure or clinical practice disciplinary actions, clinical practice restrictions, and medical malpractice suits, judgments and settlements. Provides requested reports as directed.
• Maintains current knowledge of and compliance with medical staff accreditation standards with applicable regulatory agencies and licensing standards. Participates in the development and implementation of credentialing policies and procedures.

Requirements
• High School Diploma or GED

Preferred
• Credentialing experience
• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff Management (CPMSM) by the National Association Medical Staff Services (NAMSS) or Registered Health Information Administrator (RHIA).

At UCHealth, we do things differently

We believe in something different: a focus on the individuality of every person. In big ways and small, we exist to improve the extraordinary lives of all those we serve. As Colorado’s largest and most innovative health care system, we as a team deliver on the commitment to provide the best possible experience for our patients and their families. We foster a true human connection and give people the freedom to live extraordinary lives. A career at UCHealth is more than a job, it’s a passion.

Going beyond quality requires the perfect balance of talent, integrity, drive and intellectual curiosity. We are looking for individuals who recognize, like us, that the world of medicine is ever-changing and are motivated to do what is right, not what is easy. We support creativity and curiosity so that each of us can find the extraordinary qualities within ourselves. At UCHealth, we’ll do everything in our power to make sure you grow and have a meaningful career. There’s no limits to your potential here.

Be Extraordinary. Join Us Today!

UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an affirmative action/equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual’s race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. UCHealth does not discriminate against any “qualified applicant with a disability” as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.