What are the responsibilities and job description for the Auditor, Provider Enrollment and Credentialing position at Denver Health?
We are recruiting for a motivated Auditor, Provider Enrollment and Credentialing to join our team!
We are here for life's journey.
Where is your life journey taking you?
Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all :
Humanity in action, Triumph in hardship, Transformation in health.
Department
Medical Staff Services and Provider Enrollment
Job Summary
Under minimal supervision, ensures credentialing and privileging activities of the Medical Staff Services and Provider Enrollment Teams comply with requirements of regulatory and accrediting agencies including the Centers for Medicare / Medicaid Services, the Joint Commission, and the National Committee for Quality Assurance, federal and state laws and delegated credentialing agreements independently.
Essential Functions :
- Audits credentials files and verifies information entered in information systems (50%)
- Maintains and analyzes quality data, identifies trends, and recommends corrective actions (10%)
- Coordinates external audit engagements and responding to complex inquiries (5%)
- Prepares and submits material for external audits and Corrective Action Plans (5%)
- Works with Coordinators in Medical Staff and Provider Enrollment to ensure audit results are identified, shared and monitored for continued compliance (10%)
- Works with Departments / Divisions to maintain monthly rosters and to ensure all data elements are captured appropriately (15%)
- Assist in the maintenance of information flowing between MD Staff and EPIC to be correct (5%)
Education :
Work Experience :
Licenses :
Knowledge, Skills and Abilities :
Shift
Days (United States of America)
Work Type
Regular
Salary
28.99 - $42.16 / hr
Benefits
Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans
Free RTD EcoPass (public transportation)
On-site employee fitness center and wellness classes
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education & development opportunities including career pathways and coaching
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
Our Values
Respect
Belonging
Accountability
Transparency
All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.
As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).
Denver Health values the unique ideas, talents and contributions reflective of the needs of our community. For more about our commitment to diversity visit : https : / / www.denverhealth.org / for-professionals / careers / diversity-and-inclusion
Applicants will be considered until the position is filled.
Salary : $29 - $42
