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Credentialing Auditor Jobs (NOW HIRING)

VIVA Health

Credentialing Coordinator

Birmingham, AL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

VIVA Health

Credentialing Coordinator

Birmingham, AL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Viva Health

Credentialing Coordinator

Birmingham, AL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Smithers Group

IATF 16949 Auditor

Fairlawn, OH · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

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 ...

Department of Justice

Auditor (Financial)

Atlanta, GA · On-site

$112K/yr

FISD is comprised of professionally credentialed Forensic Auditors who provide comprehensive financial investigative services supporting criminal investigations under the Bureau's jurisdiction.

Viva Health

Credentialing Coordinator

Birmingham, AL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

VIVA Health

Credentialing Coordinator

Birmingham, AL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Hunterdon Health

Credentialing Coordinator

Flemington, NJ · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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:

Anders

Credentialing Specialist

Chesterfield, MO · Remote

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.

Hunterdon Health

Credentialing Coordinator

Flemington, NJ · On-site

$51K - $64K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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:

Smithers

IATF 16949 Auditor

OH · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

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 ...

Hunterdon Health

Credentialing Coordinator

Flemington, NJ · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... credentialing, privileging, provider enrollment and peer review information; executive ... This includes auditing the on-call schedule on a weekly basis. Qualifications Minimum Education:

Anders

Credentialing Specialist

Saint Louis, MO · On-site +1

$48K - $62K/yr

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. The stated ...

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Credentialing Auditor information

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How much do credentialing auditor jobs pay per hour?

As of Aug 15, 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 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.

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.

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Credentialing Auditor jobs near you
Infographic showing various Credentialing Auditor job openings in the United States as of August 2026, with employment types broken down into 4% Locum Tenens, 2% As Needed, 60% Full Time, 12% Part Time, and 22% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Credentialing Coordinator

Triton Health Systems

Birmingham, AL • On-site

Full-time

Re-posted 12 days ago

Job description

Credentialing Coordinator

Location: Birmingham, AL

Work Schedule: Hybrid - after a 5-6 month training period that will be completed 100% onsite at our downtown Birmingham office, this position can transition to a hybrid work schedule with a mix of in-office and remote work. The successful candidate must reside within a reasonable travel distance of Birmingham.

Job Summary

The Credentialing Coordinator is responsible for credentialing and re-credentialing practitioners, ancillary service providers and allied health professionals to ensure their qualification to participate in VIVA HEALTH’S provider network. The Credentialing Coordinator will serve a primary role in receiving and incorporating provider data appropriately into the provider set-up workflow process. This position will act as a resource for provider data integrity, provider file management and network development.

Why VIVA HEALTH?

VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.

VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.

Benefits

  • Comprehensive Health, Vision, and Dental Coverage
  • 401(k) Savings Plan with company match and immediate vesting
  • Paid Time Off (PTO)
  • 9 Paid Holidays annually plus a Floating Holiday to use as you choose
  • Tuition Assistance
  • Flexible Spending Accounts
  • Healthcare Reimbursement Account
  • Paid Parental Leave
  • Community Service Time Off
  • Life Insurance and Disability Coverage
  • Employee Wellness Program
  • Training and Development Programs to develop new skills and reach career goals
  • Employee Assistance Program

See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits

Key Responsibilities

  • 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 software findings to make credentialing decisions regarding providers.
  • Analyze trends in monthly credentialing data to forecast workload for CAQH.
  • Communicate with internal departments to ensure quality assurance findings related to providers are reviewed and acted upon accordingly.

REQUIRED QUALIFICATIONS:

  • Bachelor's Degree or equivalent experience in credentialing
  • 3 years of experience in credentialing
  • Ability to analyze and solve problems related to credentialing of providers and facilities
  • Proficient in manipulation of data to report statistical information to several of departments
  • Ability to work independently, research and resolve processing issues in a timely manner with little to no supervision
  • Organized, detail oriented, and skilled at multi-tasking
  • Demonstrate excellent customer service skills through written and verbal communication
  • Proficient in the Microsoft Office suite of products
  • Knowledge of credentialing software, CAQH, CMS, NCQA guidelines, and JCAHO regulations