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Credentialing Auditor Jobs (NOW HIRING)

Credentialing Specialist Location: Houston, TX - West Houston Industry: Healthcare / Credentialing ... Maintain data integrity for all expirables by auditing records, running reports, and ensuring ...

The Credentialing Coordinator is responsible for assisting in the planning, implementation and ... Prepare initial and reappointment files for auditing and committee review. * Pursue incomplete and ...

The Delegated Credentialing Specialist is responsible for organizing, maintaining, and verifying ... Prepare and Present provider files for internal and external auditing. * Upload and update the ...

Receive, interpret and incorporate Council for Affordable Quality Healthcare (CAQH) provider data into the credentialing, re-credentialing, and provider data auditing process. * Use CAQH data and ...

Receive, interpret and incorporate Council for Affordable Quality Healthcare (CAQH) provider data into the credentialing, re-credentialing, and provider data auditing process. * Use CAQH data and ...

Receive, interpret and incorporate Council for Affordable Quality Healthcare (CAQH) provider data into the credentialing, re-credentialing, and provider data auditing process. * Use CAQH data and ...

IATF 16949 Auditor credentials (third-party certification) accompanied by an IATF certificate number. Interested but not certified? Smithers can assist with your next steps to achieve your ...

Knowledge of credentialing software platforms and auditing processes preferred. Applicants to the Credentialing Specialist position must be located within the Greater St. Louis, MO area.

Credentialing Committee, Medical Executive Committee, General Medical Staff and other committees ... This includes auditing the on-call schedule on a weekly basis. Qualifications Minimum Education:

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How much do credentialing auditor jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for credentialing auditor in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 per hour, depending on experience, location, and employer.

What is a credentialing auditor?

A Credentialing Auditor is responsible for reviewing and verifying the credentials of healthcare providers to ensure compliance with industry, regulatory, and organizational standards. They audit provider documentation, licensure, certifications, and professional history to confirm accuracy and completeness. Their role helps maintain high-quality patient care by ensuring that only qualified professionals are credentialed. Credentialing Auditors often work with healthcare organizations, insurance companies, and accreditation agencies to uphold regulatory requirements.

What are the key skills and qualifications needed to thrive as a credentialing auditor?

To thrive as a Credentialing Auditor, you need a solid understanding of healthcare regulations, credentialing processes, and auditing standards, often supported by experience in healthcare administration or compliance. Familiarity with credentialing management software, databases, and knowledge of compliance policies like NCQA or Joint Commission standards is typically required. Strong attention to detail, critical thinking, and effective communication skills help auditors excel in this role. These competencies are crucial to ensuring accuracy, regulatory compliance, and the integrity of health provider credentialing systems.

What are the most common challenges faced by credentialing auditors, and how can they be managed?

Credentialing Auditors often encounter challenges such as navigating complex regulatory requirements, identifying inconsistencies in documentation, and keeping up with frequent changes in compliance standards. Managing these obstacles requires strong organizational skills and a proactive approach to staying current with industry updates and best practices. Auditors may rely heavily on established checklists, ongoing professional training, and open communication with credentialing teams to ensure thorough and accurate reviews. Leveraging these strategies helps maintain compliance and minimizes delays in provider approvals, making the role vital to healthcare organizations.

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What are the most commonly searched types of Credentialing Auditor jobs?

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What states have the most Credentialing Auditor jobs?

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Infographic showing various Credentialing Auditor job openings in the United States as of August 2026, with employment types broken down into 6% Locum Tenens, 2% As Needed, 62% Full Time, 8% Part Time, and 22% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Onsite 1099 Credentialing Specialist - Alaska

Propio Language Services

Fairbanks, AK • On-site

$50 - $75/hr

Other

Re-posted 9 days ago


Job description

Propio Language Services is seeking detail-oriented and professional Credentialing Specialists to support the Credentialing Program. In this role, you will conduct on-site facility compliance checks on behalf of Propio for our medical clients. These facility visits ensure adherence to operational and safety standards required by our clients and regulatory bodies.

Key Responsibilities
  • Conduct scheduled on-site facility visits to medical clinics, offices, or treatment centers
  • Evaluate and document compliance with key operational areas including:
    • Accessibility and signage (e.g. parking, entrance visibility)
    • Hours of operation and posted availability
    • Cleanliness, organization, and general upkeep of the facility
    • Proper handling and secure storage of substances and medications
    • Staff presence, professionalism, and safety practices
  • Take photographs as required for documentation
  • Complete and submit structured audit reports within designated timelines
  • Flag non-compliance or areas of concern in line with Propio’s credentialing guidelines
  • Communicate professionally with on-site staff and escalated issues when necessary
Qualifications
  • Prior experience in healthcare credentialing, auditing, or compliance is preferred
  • Excellent attention to detail and observational skills
  • Strong written communication and reporting abilities
  • Professional demeanor and ability to work independently
  • Reliable transportation and ability to travel to assigned facility locations
  • Must be comfortable working as an independent contractor under a 1099 agreement
Additional Requirements
  • Availability for scheduled site visits based on client needs
  • Smartphone or digital camera for photo documentation
  • Access to email and ability to submit reports electronically

Diversity creates a healthier atmosphere: Propio is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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