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Credentialing Auditor

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CHRISTUS Health

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Location:
United States , Irving

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

Responsible for auditing all complete credentialing applications and to build sound, effective and efficient audit processes.

Job Responsibility:

  • Coordinate and conduct credentialing audits analyzing provider files for completeness, accuracy, consistency, gaps in work history, relevant references, etc.
  • Prepare credentialing audit reports tracking and trending auditor findings and assist in the formulation of staff training guides, policies and procedures
  • Manages multiple concurrent audits, plan audits and related projects ensuring all audit tools comply with NCQA, TJC and CMS requirements
  • Coordinates the credentialing and re-credentialing process for assigned providers

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

Additional Information:

Job Posted:
December 24, 2025

Employment Type:
Fulltime
Work Type:
On-site work
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