Credentialing Coordinator

ONSITE

Job Title: Credentialing Coordinator III

Location: Antioch CA 94509
Assignment Type: Contract (Approx. 3 months)
Work Schedule: Full-time On-site
Department: Medical Staff Services
Reports To: Manager Medical Staff Services

Position Summary

The Credentialing Coordinator III is responsible for performing advanced credentialing and recredentialing functions in alignment with Sutter Healths standards federal and state regulatory requirements and health plan credentialing criteria. This position plays a key role in maintaining the integrity and accuracy of provider data ensuring compliance and supporting the timely onboarding and privileging of medical staff and allied health professionals.

This role requires extensive hands-on experience with medical staff credentialing processes including verification of licensure board certification malpractice coverage and professional references as well as familiarity with Echo credentialing software.

Essential Duties and Responsibilities

Administer and oversee all aspects of credentialing recredentialing and privileging for physicians allied health professionals and contracted providers.

Perform primary source verification (PSV) of licensure board certifications malpractice claims history DEA/CDS registrations and other required credentials.

Maintain audit and update provider data in the Echo credentialing system ensuring accuracy and timeliness of records.

Support Medical Staff leadership and committees by preparing and distributing credentialing reports and ensuring all required documentation is complete before review.

Ensure compliance with regulatory agencies (e.g. Joint Commission CMS NCQA) and Sutter Healths internal policies.

Liaise with external health plans auditors and regulatory bodies during credentialing audits and reviews.

Collaborate closely with physician leaders and department managers to resolve credentialing discrepancies or delays.

Participate in continuous process improvement initiatives to streamline credentialing workflows and reduce turnaround time.

Maintain confidentiality of all provider and organizational information in accordance with HIPAA and Sutter Health policy.

Required Qualifications

Education: Associates degree or equivalent experience in healthcare administration business or related field.

Experience: Minimum of 3 years of recent hands-on experience in medical staff credentialing or provider enrollment within a hospital or health system setting.

Echo Credentialing Software proficiency is required.

Demonstrated experience using Microsoft Teams and Microsoft Office Suite (Word Excel Outlook).

Knowledge:

Deep understanding of credentialing standards bylaws and accreditation requirements (Joint Commission CMS NCQA).

Working knowledge of medical staff office operations and governance processes.

Skills:

Exceptional attention to detail and data accuracy.

Strong organizational analytical and communication skills.

Ability to work independently under tight deadlines in a fast-paced environment.

Professional demeanor and ability to interact effectively with physicians and administrative leaders.

Preferred Qualifications

Certified Provider Credentialing Specialist (CPCS) certification through NAMSS preferred.

Experience supporting medical staff committees or working directly with physician leadership in a credentialing office environment.

Work Conditions

This position is 100% on-site at Sutter Delta Medical Center.

The role does not involve direct patient interaction.

Temporary assignment expected to last approximately 3 months with potential for extension based on department needs.