Medical Staff Credentialing Manager jobs in Vineland, NJ
Medical Staff Credentialing Manager manages staff that process credentialing and recredentialing applications for health care providers. Oversees department operations to ensure compliance with all regulatory standards. Being a Medical Staff Credentialing Manager implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Analyzes reports on applications and credentialing status to identify trends and improve the credentialing process. Additionally, Medical Staff Credentialing Manager prepares files for the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a director. The Medical Staff Credentialing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Medical Staff Credentialing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Recently Added Medical Staff Credentialing Manager jobs
- Inspira Health Network
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Glassboro, NJ
FULL_TIME
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MAJOR FUNCTION: The Coding Manager will report to the Systems Director of Coding and will be primarily responsible for managing the day-to-day operations for the coding functions within the professional physician coding scope of work. The Coding Manager will review, evaluate, any concerns or issues for all hospital and professional claims. The Coding Manager will provide instructional coding training. The Coding Manager will supervise the coding team to ensure accurate coding is coded, coding is completed timely. The Coding Manager will work collaboratively with the Revenue Cycle team, Clinical teams, Physicians, APNs, and Practice Managers etc., to ensure all areas of concern are investigated and thoroughly addressed to resolution. The Coding Manager will also assist practice physicians and managers with all coding inquires, errors, and/or issues encountered during the revenue cycle process.
QUALIFICATIONS:
Education & Experience:
• Bachelors preferred.
• Minimum of (4) years in a medical practice environment.
• Minimum of (2) years of active medical coding and supervisory experience.
• Prior experience with extensive coding auditing utilizing CMS regulatory guidelines and AHA standards.
• Prior experience and knowledge of Federal Register and OIG plans. • Prior experience in denials management.
• Prior experience in instructional coder training as an educator.
Certification/Licensure:
• Certification is required in one of the following: Inspira Health Position Profile 2
• AAPC - Certified Professional Coder (CPC)
• AHIMA - Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician-based (CCS-P)
Knowledge & Skills:
• Strong organizational and time management skills with the ability to multi-task and accurately process high volumes of work with the ability to work independently with minimal supervision.
• Proficiency with Excel, MS Office, Internet Explorer, Cerner EMR platforms.
• Extensive knowledge of physician professional-fee reimbursement methodologies. Extensive knowledge of medical terminology, ICD10, CPT, and HCPC coding.
• Ability to make independent decisions consistent with Inspira policies, procedures and standards.
• Knowledge and understanding of all government and payer billing regulations and payer requirements.
• Ability to organize and manage time effectively, setting appropriate priorities.At Inspira Health, you’ll join with the area’s most dedicated and distinguished team to bring quality and compassionate care to our communities. We focus on clinical excellence, providing evidence-based care to help each patient achieve the best possible outcome. The scope and depth of our network can open many doors for your learning and career growth.
Our charitable nonprofit health care organization serves communities across southern New Jersey. The network, which traces its roots to 1899, comprises three hospitals, a comprehensive cancer center, sleep medicine, cardiac testing, digestive health and wound care, urgent care, imaging and rehabilitation, and primary and specialty physician practices in Gloucester, Cumberland, Salem and Camden counties.
Inspira is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, creed, color, national origin, ancestry, age, marital status, affectional or sexual orientation, familial status, disability, liability for service in the Armed Forces of the United States, nationality, sex, gender identity or expression.
- 11 Days Ago
- Atlantic Medical Imaging
-
Vineland, NJ
OTHER
- Job Details Level: Experienced Job Location: Vineland, NJ Position Type: Full Time Education Level: High School Salary Range: Undisclosed Travel Percentage: None Job Shift: Day Job Category: Admin - C...
- 17 Days Ago
- Focus Staff Services
-
Vineland, NJ
OTHER
- OverviewFocus Staff is seeking a ER Registered Nurse for a travel contract in Vineland, NJ. The ideal candidate will have at least 1 year of experience in a ER setting. Contract Length: 13 Weeks Start...
- 20 Days Ago
- Focus Staff Services
-
Vineland, NJ
OTHER
- OverviewFocus Staff is seeking a Step Down Registered Nurse for a travel contract in Vineland, NJ. The ideal candidate will have at least 1 year of experience in a Step Down setting. Contract Length: ...
- 24 Days Ago
- Towne Nursing Staff
-
Vineland, NJ
FULL_TIME
- ESHYFT is a mobile app that connects nurses to flexible shifts at long-term care facilities. In 25 states, vetted CNAs, LPNs, and RNs, use ESHYFT’s top-rated nurse app to pick up shifts where they wan...
- 2 Days Ago
- Towne Nursing Staff
-
Hammonton, NJ
PART_TIME
- Sigma Health Rehab is actively seeking a Occupational Therapist (OT) to work weekends in a Skilled Nursing Facility. Ask us about our Immigration Sponsorship Program. OT Duties Include: Evaluate Resid...
- 9 Days Ago
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0 Medical Staff Credentialing Manager jobs found in Vineland, NJ area
- Zillion Technologies, Inc.
-
North Philadelphia, PA
- NO THIRD PARTIES / NO VENDORS CALLS PLS THIS IS A DIRECT BANKING CLIENT REQUIREMENT ! Those authorized to work without s...
- 4/28/2024 12:00:00 AM
- Internal Revenue Service
-
Mays Landing, NJ
- DutiesWHAT IS THE OFFICE OF THE CHIEF PROCUREMENT OFFICER DIVISION?A description of the business units can be found at:V...
- 4/28/2024 12:00:00 AM
- Association Headquarters
-
Mount Laurel, NJ
- is seeking a Video Specialist for its award-winning Marketing and Communications Department.The Video Producer is respon...
- 4/28/2024 12:00:00 AM
- Wsfs Bank
-
Wilmington, DE
- Job Description At WSFS Bank, we empower our Associates to grow their careers, we guide our customers to secure their fi...
- 4/28/2024 12:00:00 AM
- Comhar Inc
-
Wilmington, DE
- Description***Effective October 15, 2021, all employees/contractors/interns/volunteers are required to provide our offic...
- 4/28/2024 12:00:00 AM
- Zillion Technologies, Inc.
-
North Philadelphia, PA
- US CITIZENS / Green Card Holders ONLY NO THIRD PARTIES PLS THIS IS A DIRECT CLIENT REQUIREMENT ! Those authorized to wor...
- 4/27/2024 12:00:00 AM
- Department Of The Treasury
-
Mays Landing, NJ
- Duties WHAT IS THE TAX EXEMPT/GOVERNMENT ENTITIES (TEGE) DIVISION? A description of the business units can be found at: ...
- 4/26/2024 12:00:00 AM
- Department Of The Treasury
-
Cherry Hill, NJ
- Duties WHAT IS THE TAX EXEMPT/GOVERNMENT ENTITIES (TEGE) DIVISION? A description of the business units can be found at: ...
- 4/26/2024 12:00:00 AM
About Vineland, New Jersey
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