Credentialing Auditor Educator

Job Summary

To enhance credentialing processes and compliance, the full-time Credentialing Auditor Educator will conduct comprehensive audits, develop training programs, and serve as a subject-matter expert while working remotely.

Key responsibilities:

• Conduct comprehensive audits of credentialing and provider enrollment files to ensure compliance with standards
• Develop and facilitate onboarding and ongoing training programs for credentialing team members
• Create educational resources and deliver targeted training sessions based on audit findings

Required qualifications:

• High School Diploma or equivalent; Bachelor's degree preferred
• 3+ years of experience in hospital credentialing, managed care credentialing, or provider enrollment
• Comprehensive understanding of credentialing and primary source verification
• Experience in developing training programs and standard operating procedures
• Certifications such as Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff Management (CPMSM) preferred