Credentialing Coordinator - 100% REMOTE
Company: Vanderbilt University Medical Center
Location: Baton Rouge
Posted on: March 16, 2023
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Job Description:
Credentialing Coordinator - 100% REMOTE - 2214004 **Job** :
Medical Coding and Billing **Primary Location** : Work from Home
**Organization** : Provider Credentialing 20 200608 **Shift:** :
First Shift **Description** **Credentialing Coordinator - 100%
REMOTE** **JOB SUMMARY:** Ensures credentialing and privileging
activities 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. Executes the Medical Staff Office Quality Assurance
Program. **KEY RESPONSIBILITIES:** + Audits credentials files and
verifies information entered in information systems. + Maintains
and analyzes quality data, identifies trends, and recommends
corrective actions. + Coordinates external audit engagements and
responding to complex inquiries. + Prepares and submits material
for external audits and Corrective Action Plans. + Serves as
primary contact for VHAN. + The responsibilities listed are a
general overview of the position and additional duties may be
assigned. **TECHNICAL CAPABILITIES:** _DISCRETION & PRIVACY
(ADVANCED):_ - The ability to use and keep information confidential
in a secure setting. _DATA ENTRY (ADVANCED):_ - The ability to
transcribe information from the original source into an electronic
system according to written and verbal instructions efficiently and
accurately. _ANALYTICAL SKILLS (ADVANCED):_ - The process of
identifying, evaluating, interpreting and organizing data. It
includes sorting through data to identify patterns and establish
relationships for decision making. _CVO POLICIES AND PROCEDURES
(INTERMEDIATE):_ - Knowledge, adherence and application of CVO
policies and procedures. _PROCESS DEVELOPMENT (ADVANCED):_ -
Identifies, analyzes and improves upon existing business processes
for optimization and to meet standards of quality. **CORE
ACCOUNTABILITIES:** + Organizational Impact: Independently performs
non-routine tasks that significantly impact team and other related
teams. + Problem Solving/ Complexity of work: Gathers and analyzes
data to solve problems that arise with little or no precedent. +
Breadth of Knowledge: Applies advanced job knowledge and has
developed a breadth of skills in other areas. + Team Interaction:
Serves as a lead for the team by providing expertise and guidance
to team members. **CORE CAPABILITIES:** SUPPORTING COLLEAGUES (S4):
+ - Develops Self and Others: Invests time, energy and enthusiasm
in developing self/others to help improve performance and gain
knowledge in new areas. + - Builds and Maintains Relationships:
Maintains regular contact with key colleagues and stakeholders
using formal and informal opportunities to expand and strengthen
relationships. + - Communicates Effectively: Recognizes group
interactions and modifies one's own communication style to suit
different situations and audiences. DELIVERING EXCELLENT SERVICES
(S4): + - Serves Others with Compassion: Seeks to understand
current and future needs of relevant stakeholders and customizes
services to better address them. + - Solves Complex Problems
Approaches problems from different angles; Identifies new
possibilities to interpret opportunities and develop concrete
solutions. + - Offers Meaningful Advice and Support: Provides
ongoing support and coaching in a constructive manner to increase
employees' effectiveness. ENSURING HIGH QUALITY (S4): + - Performs
Excellent Work: Engages regularly in formal and informal dialogue
about quality; directly addresses quality issues promptly. + -
Ensures Continuous Improvement: Applies various learning
experiences by looking beyond symptoms to uncover underlying causes
of problems and identifies ways to resolve them. + - Fulfills
Safety and Regulatory Requirements: Understands all aspects of
providing a safe environment and performs routine safety checks to
prevent safety hazards from occurring. MANAGING RESOURCES
EFFECTIVELY (S4): + - Demonstrates Accountability: Demonstrates a
sense of ownership, focusing on and driving critical issues to
closure. + - Stewards Organizational Resources: Applies
understanding of the departmental work to effectively manage
resources for a department/area. + - Makes Data Driven Decisions:
Demonstrates strong understanding of the information or data to
identify and elevate opportunities. FOSTERING INNOVATION (S4): + -
Generates New Ideas: Proactively identifies new ideas/opportunities
from multiple sources or methods to improve processes beyond
conventional approaches. + - Applies Technology: Demonstrates an
enthusiasm for learning new technologies, tools, and procedures to
address short-term challenges + - Adapts to Change: Views difficult
situations and/or problems as opportunities for improvement;
actively embraces change instead of emphasizing negative elements.
**Basic Qualifications** High School Diploma or GED (or equivalent
experience) and 5 years relevant experience **Licensure,
Certification, and/or Registration (LCR):** **Physical
Requirements/Strengths needed & Physical Demands:** + Sedentary
category requiring exertion up to 10 lbs. of force occasionally and
uses negligible amounts of force to move objects. Sedentary work
involves sitting most of the time. **Movement** + Occasional:
Standing: Remaining on one's feet without moving. + Occasional:
Walking: Moving about on foot. + Occasional: Lifting under 35 lbs:
Raising and lowering objects under 35 lbs from one level to another
+ Occasional: Carrying under 35 lbs: Transporting an object holding
in hands, arms or shoulders, with help of coworkers or assistive
device. + Occasional: Push/Pull: Exerting force to move objects
away from or toward. + Occasional: Reaching above shoulders:
Extending arms in any direction above shoulders. + Frequent:
Sitting: Remaining in seated position + Frequent: Reaching below
shoulders: Extending arms in any direction below shoulders. +
Frequent: Fingering: Picking, pinching, gripping, working primarily
with fingers requiring fine manipulation. + Frequent: Bimanual
Dexterity: Requiring the use of both hands. **Sensory** +
Continuous: Communication: Expressing or exchanging
written/verbal/electronic information. + Continuous: Auditory:
Perceiving the variances of sounds, tones and pitches and able to
focus on single source of auditory information + Continuous:
Vision: Clarity of near vision at 20 inches or less and far vision
at 20 feet or more with depth perception, peripheral vision, color
vision. + Continuous: Smell: Ability to detect and identify odors.
**Environmental Conditions** + Occasional: Chemicals and Gasses:
Medications, cleaning chemicals, oxygen, other medical gases used
in work area. **Req ID:** 2214004 Vanderbilt University Medical
Center is committed to principles of equal opportunity and
affirmative action.
Keywords: Vanderbilt University Medical Center, Baton Rouge , Credentialing Coordinator - 100% REMOTE, Other , Baton Rouge, Louisiana
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