drjobs Site Inspector – Credentialing

Site Inspector – Credentialing

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1 Vacancy
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Job Location drjobs

Indianapolis, IN - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

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
  1. Site Inspections and Evaluations:
    • 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).
    • Evaluate physical environments for cleanliness accessibility equipment maintenance and patient safety protocols.
    • Review facility policies procedures and documentation related to patient care infection control and emergency preparedness.
  2. Credentialing Verification:
    • Confirm licensure certifications and accreditations of healthcare providers and facilities during site visits.
    • Ensure adherence to operational and staffing standards including adequate training and credentialing of clinical staff.
  3. Reporting and Documentation:
    • Document findings in detailed inspection reports highlighting areas of compliance and deficiencies.
    • Recommend corrective actions and follow up on implementation to ensure compliance.
  4. Stakeholder Engagement:
    • Act as a liaison between the provider network and the credentialing department to address compliance issues.
    • Educate providers on credentialing standards and assist in improving their readiness for inspections.
    • Conduct interviews with healthcare staff management and providers to gather insights on operations and patient care practices.
    • Analyze staff qualifications and training programs to ensure adherence to best practices in healthcare delivery.
  5. Quality Assurance and Continuous Improvement:
    • Collaborate with internal teams to improve credentialing processes and provider onboarding.
    • Participate in quality assurance initiatives to enhance overall provider network performance.
  6. Travel:
    • Travel to provider locations as required for on-site inspections.
Qualifications
Education and Experience:
  • 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.
  • 2 3 years of experience in clinical setting or healthcare operations.
Skills and Certifications:
  • Understanding of state Medicaid guidelines regulations and policies
  • Strong knowledge of healthcare accreditation standards (e.g. NCQA Join Commission
  • Familiarity with regulatory requirements including HIPAA and OSHA
  • Familiarity with coding practices (ICD 10 CPT coding) is preferred.
  • Certification in healthcare credentialing or quality (e.g. CPCS CPHQ CJCP) is preferred.
  • Excellent communication and interpersonal skills for provider engagement.
  • Proficient in Microsoft Office Suite and credentialing software systems.
Other Requirements:
  • Valid driver s license and reliable transportation for travel to provider sites.
  • Ability to manage multiple inspections and meet deadlines in a fast-paced environment.
Syra Health is an equal opportunity employer and values diversity at all levels. Lived experience and non-traditional backgrounds are welcomed and encouraged.

Employment Type

Full-time

Company Industry

About Company

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