What are the responsibilities and job description for the Credentialing Coordinator position at Cozad Community Hospital?
Summary: We are looking for a detail-oriented person to join our Health Information Management Team. Monday - Friday, 8:00am - 5:00pm. Competitive pay and awesome benefits package available.
Title: Credentialing Coordinator
Branch: Cozad Community Hospital
Department: Medical Records
Level: Entry
Type: Employee
Employment Status: Full Time
Wage Type: Hourly
,Posted: 07-May-25
Expires: 27-Jun-25
Our Mission: To improve the health and well-being of the communities we serve demonstrating compassionate, patient-centered care.
Summary
The Credentialing Coordinator is responsible for credentialing all providers for CCHS and health insurance contracts in accordance with the philosophy, goals, and objectives of Cozad Community Health System.
Essential Duties and Responsibilities
This description intends to describe the general nature and level of work performed by employees assigned to this job. It is not intended to include all duties, responsibilities, and qualifications. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
· Develops and maintains positive working relationships with patients, co-workers, vendors, third-party payor resources, and related entities.
- Works with a physician credentialing organization for credentialing purposes.
- Collaborates with a credentialing team for health insurance contract credentialing.
- Coordinates with an external firm to enroll providers in the PECOS and Maximus system for professional fee billing.
· Communicates with the National Physicians Data Bank for Background checks of new providers.
· Works with Chief Medical Officer to credential new providers.
· Communicates with CFO for Professional Liability coverage for employed or contracted medical staff.
· Prepares a list of appointments and reappointments to Director of HIM for monthly Medical Staff meetings and CFO for monthly board meetings.
· Follows all HIPAA guidelines and promotes and ensures patient safety.
· Fulfills mission statement by performing job duties with a high level of customer service while contributing to a positive and professional environment.
· Special projects and other duties as assigned.
Supervisory Responsibilities
No supervisory responsibilities.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
High school diploma or equivalent required. Electronic Health Records experience, medical terminology knowledge, computer experience, and ability to examine documents for accuracy required.
Licensure/Certification
Basic Life Support (CPR)
Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively with patients, visitors and employees.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit; use hands to fingers to handle or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand and walk. The employee must regularly lift and/or move 10 pounds and must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the office environment is usually moderate.
Equal Employment Opportunity
Cozad Community Health System is committed to hiring and developing the most qualified employees from the available workforce in the communities we serve.
Equal employment opportunity has been, and will continue to be, a fundamental principle at Cozad Community Health System, where employment is based upon personal capabilities and qualifications without discrimination and retaliation because of veteran status, uniformed service member status, race, color, national origin or ancestry, creed, religion, sex, sexual orientation, gender identity or expression, age, pregnancy (including childbirth, lactation, and related medical conditions), national origin or ancestry, physical or mental disability, genetic information (including characteristics and testing), or any other protected characteristic as established by applicable local, state, or federal law.
