SH-690 Site Inspector Credentialing Indiana ( Part-Time)
Summary:
Position Summary:
We are seeking a detail-oriented and highly organized Site Inspector - Credentialing - to join our team. The successful candidate will conduct on-site inspections of healthcare facilities to ensure compliance with credentialing standards regulatory requirements and quality benchmarks. This role is integral to maintaining a high-quality provider network and ensuring the safety and satisfaction of patients served by the network.
Key Responsibilities
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Site Inspections and Evaluations:
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Perform on-site inspections of provider facilities including clinical and administrative areas to assess compliance with company standards state and federal regulations and accreditation requirements (e.g. NCQA).
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Evaluate physical environments for cleanliness accessibility equipment maintenance and patient safety protocols.
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Review facility policies procedures and documentation related to patient care infection control and emergency preparedness.
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Credentialing Verification:
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Confirm licensure certifications and accreditations of healthcare providers and facilities during site visits.
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Ensure adherence to operational and staffing standards including adequate training and credentialing of clinical staff.
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Reporting and Documentation:
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Stakeholder Engagement:
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Act as a liaison between the provider network and the credentialing department to address compliance issues.
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Educate providers on credentialing standards and assist in improving their readiness for inspections.
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Conduct interviews with healthcare staff management and providers to gather insights on operations and patient care practices.
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Analyze staff qualifications and training programs to ensure adherence to best practices in healthcare delivery.
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Quality Assurance and Continuous Improvement:
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Travel:
Qualifications
Education and Experience:
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Associate s degree in Healthcare Administration Social Work Nursing Public Health or a related field Certified Medical Assistant or Registered Medical Assistant with relevant experience.
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2 3 years of experience in clinical setting or healthcare operations.
Skills and Certifications:
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Understanding of state Medicaid guidelines regulations and policies
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Strong knowledge of healthcare accreditation standards (e.g. NCQA Join Commission
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Familiarity with regulatory requirements including HIPAA and OSHA
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Familiarity with coding practices (ICD 10 CPT coding) is preferred.
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Certification in healthcare credentialing or quality (e.g. CPCS CPHQ CJCP) is preferred.
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Excellent communication and interpersonal skills for provider engagement.
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Proficient in Microsoft Office Suite and credentialing software systems.
Other Requirements:
Syra Health is an equal opportunity employer and values diversity at all levels. Lived experience and non-traditional backgrounds are welcomed and encouraged.