Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Being a Medical Staff Credentialing Director maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Additionally, Medical Staff Credentialing Director analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to senior management. The Medical Staff Credentialing Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Staff Credentialing Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
About us
Ultimate Care Medical is a small business in Ashland, KY. We are agile and professional.
Our work environment includes:
**Job Overview:**
We are seeking a detail-oriented Compliance Officer to join our team. The ideal candidate will have experience in medical office administration and possess knowledge of credentialing with various insurances: medicare, medicaid and private insurances, and HIPAA regulations.
**Responsibilities:**
- Ensure compliance with all relevant laws, regulations, and policies
- Develop and implement compliance programs
- Conduct internal audits to identify compliance issues
- Investigate complaints or concerns regarding compliance
- Provide training on compliance-related topics
- Monitor changes in regulations and update policies accordingly
**Experience:**
- Proven experience in a compliance role, preferably in a medical setting
- Familiarity with medical scheduling and records systems
- Knowledge of HIPAA regulations and patient confidentiality protocols
- Experience with electronic health record systems
- Strong communication and interpersonal skills
If you are a dedicated professional with a background in medical credentialing or compliance, we invite you to apply for this rewarding position.
Job Type: Full-time
Pay: $40,000.00 - $59,000.00 per year
Benefits:
Healthcare setting:
Medical specialties:
Schedule:
Work Location: In person