Credentialing Auditor - Staff Credentialing
Not Disclosed•Full-TimeOn-site
location_onLas Colinas Boulevard, Las Colinas, Irving, Dallas County, Texas, 75063, United States
About the Role
This position serves as a critical guardian of provider quality within the OneCHRISTUS network. The primary mission is to ensure the integrity of all complete credentialing applications by conducting rigorous audits and building sound, effective, and efficient audit processes. You will play a key role in maintaining compliance with industry standards while supporting the broader goal of delivering safe, high-quality patient care.
In this role, you will coordinate and conduct credentialing audits, meticulously analyzing provider files for completeness, accuracy, consistency, and gaps in work history. Beyond individual file reviews, you will prepare audit reports that track and trend findings, assisting in the formulation of staff training guides, policies, and procedures. You will manage multiple concurrent audits and related projects, ensuring all audit tools strictly comply with NCQA, TJC, and CMS requirements. Additionally, you will coordinate the full credentialing and re-credentialing process for assigned providers, acting as a central point of contact for maintaining provider data accuracy.
Work Environment
This is a full-time position operating on a standard business schedule from 8 AM to 5 PM, Monday through Friday. The role is designed for individuals who thrive in structured environments and are committed to upholding the highest standards of professional conduct and operational excellence.
Work location
Work model: On-site
Las Colinas Boulevard, Las Colinas, Irving, Dallas County, Texas, 75063, United States
Irving, Texas
Key Responsibilities
- check_circleCoordinate and conduct credentialing audits analyzing provider files for completeness and accuracy
- check_circlePrepare credentialing audit reports tracking and trending auditor findings
Similar Job Opportunities
Skills, education and keywords
Skills: Certified Provider Credentialing Specialist, Ncqa, TJC, CMS.
Education: Bachelor's Degree preferred; High School or equivalent required.
Frequently asked questions about Credentialing Auditor - Staff Credentialing at CHRISTUS Health
What does a Credentialing Auditor - Staff Credentialing at CHRISTUS Health do?expand_more
A Credentialing Auditor - Staff Credentialing at CHRISTUS Health is responsible for the following: Coordinate and conduct credentialing audits analyzing provider files for completeness and accuracy; Prepare credentialing audit reports tracking and trending auditor findings; Assist in the formulation of staff training guides, policies and procedures; and Manage multiple concurrent audits and plan related projects.
What are the requirements for this Credentialing Auditor - Staff Credentialing role?expand_more
CHRISTUS Health is looking for candidates who meet the following requirements: High School or equivalent; 3 years of experience in medical staff and/or managed care credentialing preferred; and Certified Provider Credentialing Specialist (CPCS) preferred.
Where is the Credentialing Auditor - Staff Credentialing role at CHRISTUS Health located?expand_more
Credentialing Auditor - Staff Credentialing at CHRISTUS Health is based in Las Colinas Boulevard, Las Colinas, Irving, Dallas County, Texas, 75063, United States. This is a on-site role.