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Credentialing Auditor Jobs (NOW HIRING)

Hunterdon Health

Credentialing Coordinator

Flemington, NJ · On-site

$51K - $64K/yr

  • 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:

ASM Research

Credentialing Specialist

Forest Park, GA · On-site

Possess proof-reading skills sufficient for auditing documents. * Demonstrate familiarity with credentialing policies, guidelines, and regulations for the DoD credentialing process. Compensation ...

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:

Behavioral Innovations

Credentialing Specialist

Plano, TX · On-site

  • Medical

  • Dental

  • Vision

  • PTO

Overview Credentialing Specialist ** Applicants must have at least 3 year s of recent provider ... Responsibilities include maintaining and auditing provider records, processing enrollment and ...

Behavioral Innovations

Credentialing Specialist

Plano, TX · Hybrid

  • Medical

  • Dental

  • Vision

  • PTO

Overview Credentialing Specialist ** Applicants must have at least 3 year s of recent provider ... Responsibilities include maintaining and auditing provider records, processing enrollment and ...

Behavioral Innovations

Credentialing Specialist

Plano, TX · Hybrid

  • Medical

  • Dental

  • Vision

  • PTO

Overview Credentialing Specialist ** Applicants must have at least 3 year s of recent provider ... Responsibilities include maintaining and auditing provider records, processing enrollment and ...

Behavioral Innovations

Credentialing Specialist

Plano, TX · Hybrid

  • Medical

  • Dental

  • Vision

  • PTO

Overview Credentialing Specialist ** Applicants must have at least 3 year s of recent provider ... Responsibilities include maintaining and auditing provider records, processing enrollment and ...

Behavioral Innovations

Credentialing Specialist

Plano, TX · On-site

  • Medical

  • Dental

  • Vision

  • PTO

Overview Credentialing Specialist ** Applicants must have at least 3 year s of recent provider ... Responsibilities include maintaining and auditing provider records, processing enrollment and ...

Behavioral Innovations

Credentialing Specialist

Plano, TX · Hybrid

  • Medical

  • Dental

  • Vision

  • PTO

Overview Credentialing Specialist ** Applicants must have at least 3 year s of recent provider ... Responsibilities include maintaining and auditing provider records, processing enrollment and ...

Stcharles

Credentialing Coordinator

OR · On-site +1

$25.18 - $37.77/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Credentialing Coordinator REPORTS TO POSITION: Credentialing Manager DEPARTMENT: Medical Staff ... Maintains provider records for auditing, and maintains close communication with all appropriate ...

New York State

Auditor 1

Albany, NY · On-site

$66K - $85K/yr

Degree must include 24 semester credit hours in accounting, auditing, and/or taxation courses and 2 ... credentials or a background check to verify your identity.

USA JOBS

Auditor

Rockville, MD · On-site

$85K/yr

Degree: accounting, auditing; or a degree including auditing courses in a related field such as ... You must show proof the education credentials have been deemed to be at least equivalent to that ...

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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

Hunterdon Health Care System

Flemington, NJ • On-site

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 days ago

Job description

Position Summary

Provides general administrative and clerical tasks within the department and provides backup administrative support, if needed; maintains critical and confidential credentialing, privileging, provider enrollment and peer review information; executive correspondence; ongoing- professional, performance evaluations (OPPE); and focused professional performance evaluations (FPPE). Recognize and maturely handle a variety of situations, often of a confidential or urgent nature.

Primary Position Responsibilities

  1. Administrative Support - Dictate and transcribe Committee meetings, e.g. Credentialiing Committee, Medical Executive Committee, General Medical Staff and other committees assigned by the Manager. Assistance with events, e.g., Doctors Day delivery of appreciation gifts. 2. Application Processing - Follow application processes, e.g. primary source verification, audit application for completeness, notify practitioner of any incomplete or oustanding documents, self file audits when applicaiton is completed. 3. Provider Enrollment - Follow processes for PECOS, CAQH, Medicaid, and NPPES processes. 4. Customer Service 5. Data Entry - Uploading documents, linking documents, etc 7. Unassigned Call Schedule -Update the unassigned On-Call Schedule as needed. This includes auditing the on-call schedule on a weekly basis.

Qualifications

Minimum Education:

Required:

High School Graduate or Equivalent

Preferred:

Certificate and/or Advanced Specialized or Technical Training in Medical Staff Services or Associate Degree

Minimum Years of Experience (Amount, Type and Variation):

Required:

One (1) year of credentialing or provider enrollment experience

Preferred:

Two (2) years of credentialing or provider enrollment experience.

License, Registry or Certification:

Required:

None

Preferred:

Certification by NAMSS as a Certified Provider Credentials Specialist (CPCS) or the ability to become certified within the time periods established by NAMSS from date of hire.

Knowledge, Skills and/or Abilities:

Required:

Ability to prioritize, work in a fast-paced environment; meet ongoing schedules and deadlines, detailed oriented, organized, good judment, self motivated, ability to multi task and work independently. Proficient in the use of multiple computer software programs

Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.

The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant’s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).

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