Responsible for auditing all complete credentialing applications and to build sound, effective and efficient audit processes. Responsibilities: * Meets expectations of the applicable OneCHRISTUS ...
Responsible for auditing all complete credentialing applications and to build sound, effective and efficient audit processes. Responsibilities: * Meets expectations of the applicable OneCHRISTUS ...
Responsible for auditing all complete credentialing applications and to build sound, effective and efficient audit processes. Responsibilities: * Meets expectations of the applicable OneCHRISTUS ...
Responsible for auditing all complete credentialing applications and to build sound, effective and efficient audit processes. Responsibilities: * Meets expectations of the applicable OneCHRISTUS ...
Responsible for auditing all complete credentialing applications and to build sound, effective and efficient audit processes. Responsibilities: * Meets expectations of the applicable OneCHRISTUS ...
Responsible for auditing all complete credentialing applications and to build sound, effective and efficient audit processes. Responsibilities: * Meets expectations of the applicable OneCHRISTUS ...
High School Diploma Experience : 3 years health insurance/managed care credentialing operations experience. 2 years of Delegated Credentialing Auditing. Preferred Qualifications : Bachelor's Degree ...
High School Diploma Experience : 3 years health insurance/managed care credentialing operations experience. 2 years of Delegated Credentialing Auditing. Preferred Qualifications : Bachelor's Degree ...
High School Diploma Experience : 3 years health insurance/managed care credentialing operations experience. 2 years of Delegated Credentialing Auditing. Preferred Qualifications : Bachelor's Degree ...
High School Diploma Experience : 3 years health insurance/managed care credentialing operations experience. 2 years of Delegated Credentialing Auditing. Preferred Qualifications : Bachelor's Degree ...
Prior experience in healthcare credentialing, auditing, or compliance is preferred * Excellent attention to detail and observational skills * Strong written communication and reporting abilities
Prior experience in healthcare credentialing, auditing, or compliance is preferred * Excellent attention to detail and observational skills * Strong written communication and reporting abilities
Prior experience in healthcare credentialing, auditing, or compliance is preferred * Excellent attention to detail and observational skills * Strong written communication and reporting abilities
Prior experience in healthcare credentialing, auditing, or compliance is preferred * Excellent attention to detail and observational skills * Strong written communication and reporting abilities
Onsite 1099 Credentialing Specialist - Alaska
Fairbanks, AK · On-site
$60 - $65/hr
Prior experience in healthcare credentialing, auditing, or compliance is preferred * Excellent attention to detail and observational skills * Strong written communication and reporting abilities
Onsite 1099 Credentialing Specialist - Alaska
Fairbanks, AK · On-site
$60 - $65/hr
Prior experience in healthcare credentialing, auditing, or compliance is preferred * Excellent attention to detail and observational skills * Strong written communication and reporting abilities
Prior experience in healthcare credentialing, auditing, or compliance is preferred * Excellent attention to detail and observational skills * Strong written communication and reporting abilities
Prior experience in healthcare credentialing, auditing, or compliance is preferred * Excellent attention to detail and observational skills * Strong written communication and reporting abilities
Credentialing Specialist
Kansas City, MO · On-site
The Credentialing Specialist manages the full-cycle credentialing and reappointment process for ... Compliance & Auditing: Verify professional licenses, certifications, education, and work history to ...
Credentialing Specialist
Kansas City, MO · On-site
The Credentialing Specialist manages the full-cycle credentialing and reappointment process for ... Compliance & Auditing: Verify professional licenses, certifications, education, and work history to ...
Internal Audit Credentialing Specialist
Sherman Oaks, CA · Remote
$24 - $28/hr
Join MedPOINT Management as a Credentialing Specialist, Internal Auditor, where you'll play a vital role in ensuring compliance and accuracy in our credentialing processes. This dynamic position is ...
Quick apply
Internal Audit Credentialing Specialist
Sherman Oaks, CA · Remote
$24 - $28/hr
Join MedPOINT Management as a Credentialing Specialist, Internal Auditor, where you'll play a vital role in ensuring compliance and accuracy in our credentialing processes. This dynamic position is ...
Credentialing Specialist
Kansas City, MO · On-site
The Credentialing Specialist manages the full-cycle credentialing and reappointment process for ... Compliance & Auditing: Verify professional licenses, certifications, education, and work history to ...
Credentialing Specialist
Kansas City, MO · On-site
The Credentialing Specialist manages the full-cycle credentialing and reappointment process for ... Compliance & Auditing: Verify professional licenses, certifications, education, and work history to ...
Auditor I / Auditor II
Saint Louis, MO · On-site
$60K - $110K/yr
The Auditor I assesses the effectiveness of business processes and internal controls associated ... Career level dependent on candidate credentials In addition to the above qualifications, the ...
Auditor I / Auditor II
Saint Louis, MO · On-site
$60K - $110K/yr
The Auditor I assesses the effectiveness of business processes and internal controls associated ... Career level dependent on candidate credentials In addition to the above qualifications, the ...
Collaborates with credentialing auditors to correct deficiencies and completes workflows with accuracy. * Organizes andmaintainsprovider data and files, ensuringtimelyprocessing of applications and ...
Collaborates with credentialing auditors to correct deficiencies and completes workflows with accuracy. * Organizes andmaintainsprovider data and files, ensuringtimelyprocessing of applications and ...
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 Credentialing Coordinator is responsible for assisting in the planning, implementation and ... Prepare initial and reappointment files for auditing and committee review. * Pursue incomplete and ...
Credentialing Coordinator
Boston, MA · On-site
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 ...
Credentialing Coordinator
Boston, MA · On-site
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 ...
Credentialing Specialist
Boca Raton, FL · On-site +1
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 ...
Credentialing Specialist
Boca Raton, FL · On-site +1
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 ...
Coordinator Credentialing - Medical Staff Services - Bon Secours St. Francis Hospital
Charleston, SC · On-site
Collaborates with credentialing auditors to correct deficiencies and completes workflows with accuracy. * Organizes and maintains provider data and files, ensuring timely processing of applications ...
Coordinator Credentialing - Medical Staff Services - Bon Secours St. Francis Hospital
Charleston, SC · On-site
Collaborates with credentialing auditors to correct deficiencies and completes workflows with accuracy. * Organizes and maintains provider data and files, ensuring timely processing of applications ...
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 ...
Quick apply
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 ...
Quick apply
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 ...
Credentialing Auditor information
See salary details
$13.70 - $16
2% of jobs
$16 - $18.29
13% of jobs
$19.44 is the 25th percentile. Wages below this are outliers.
$18.29 - $20.59
20% of jobs
The median wage is $22.59 / hr.
$20.59 - $22.88
17% of jobs
$22.88 - $25.17
15% of jobs
$26.90 is the 75th percentile. Wages above this are outliers.
$25.17 - $27.47
11% of jobs
$27.47 - $29.76
10% of jobs
$29.76 - $32.06
5% of jobs
$32.06 - $34.35
3% of jobs
$34.35 - $36.65
3% of jobs
$36.65 - $38.94
1% of jobs
$13
$24
$38
How much do credentialing auditor jobs pay per hour?
What are the key skills and qualifications needed to thrive in the Credentialing Auditor position, and why are they important?
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 is a credentialing auditor?
Is an auditor a high paying job?
How much does a credentialing specialist make in the US?
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.
What degree do you need to be a credentialing specialist?
What is a Credentialing Auditor job?
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.

CHRISTUS Health rating
6.7
Based on 525 frontline employees who took The Breakroom Quiz
531st of 890 rated healthcare providers
Job description
Summary:
Responsible for auditing all complete credentialing applications and to build sound, effective and efficient audit processes.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Coordinate and conduct credentialing audits analyzing provider files for completeness, accuracy, consistency, gaps in work history, relevant references, etc.
- Prepare credentialing audit reports tracking and trending auditor findings and assist in the formulation of staff training guides, policies and procedures Manages multiple concurrent audits, plan audits and related projects ensuring all audit tools comply with NCQA, TJC and CMS requirements Coordinates the credentialing and re-credentialing process for assigned providers
Requirements:
Education/Skills
- Bachelor's Degree preferred
- High School or equivalent required
Experience
- 3 years of experience in medical staff and/or managed care credentialing preferred
Licenses, Registrations, or Certifications
- Certified Provider Credentialing Specialist (CPCS) preferred
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
What CHRISTUS Health employees say
Pay
Benefits
Hours and flexibility
Workplace
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About CHRISTUS Health
Sourced by ZipRecruiter
CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.
Industry
Outpatient health care
Company size
1,001 - 5,000 Employees
Headquarters location
Irving, TX, US
Year founded
1999