What are the responsibilities and job description for the Site Inspector - Credentialing position at Syrahealth?

Job Description

SH-639 Site Inspector - Credentialing

About Syra Health :

Syra Health is a healthcare consulting company with a mission to improve healthcare by providing innovative services and technology solutions. Syra Health aims to achieve its goal by becoming a valuable partner to government, payers, providers, life sciences organizations, and academic institutions. Syra Health offers products and services in digital health, behavioural and mental health, population health management, health education, and healthcare workforce.

For more information, please visit www.syrahealth.com.

Job 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 :

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.

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.

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.

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.

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.

Travel :

Travel to provider locations as required for on-site inspections.

Qualifications :

Education and Experience :

Associate's degree in healthcare administration, 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.

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Site Inspector - Credentialing

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