This is a remote position Help Shape the Future of Healthcare Certification The Healthcare ... Experience in healthcare education, credentialing, or certification * Familiarity with ...
This is a remote position Help Shape the Future of Healthcare Certification The Healthcare ... Experience in healthcare education, credentialing, or certification * Familiarity with ...
Remote Credentialing Auditor information
What is the difference between Remote Credentialing Auditor vs Remote Credentialing Specialist?
| Aspect | Remote Credentialing Auditor | Remote Credentialing Specialist |
|---|---|---|
| Required credentials | Healthcare-related certifications, compliance knowledge | Healthcare credentials, licensing, and certification knowledge |
| Work environment | Remote, healthcare or insurance organizations | Remote, healthcare facilities or insurance companies |
| Employer usage | Healthcare providers, insurance companies, credentialing firms | Hospitals, clinics, insurance companies, healthcare networks |
The Remote Credentialing Auditor primarily reviews and verifies credentials for compliance and accuracy, focusing on auditing processes. In contrast, the Remote Credentialing Specialist manages the credentialing process, ensuring providers meet all licensing and certification requirements. Both roles require healthcare credentials and often work remotely within healthcare or insurance industries, but their core responsibilities differ—auditing versus processing credentialing applications.
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The most popular types of Credentialing Auditor jobs in Utah are:
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Full-time
Re-posted 4 days ago
Job description
Help Shape the Future of Healthcare Certification
The Healthcare Certification Exam Specialist supports AAPC's certification exam development initiatives through the creation, review, maintenance, and validation of credentialing assessments and related exam products. This role collaborates with subject matter experts, exam committees, and internal stakeholders to ensure certification exams align with industry standards, professional competencies, and exam development best practices.
Responsibilities include exam item development, competency mapping, blueprint maintenance, exam validation activities, and oversight of beta testing processes. The role also leverages AI-assisted technologies and emerging assessment tools to support exam development workflows, content quality, operational efficiency, and innovation while maintaining adherence to established governance, psychometric, and healthcare industry standards.
This position serves as an internal resource for exam development standards, healthcare industry guidelines, certification quality initiatives, and responsible AI-supported content development practices.
What You'll Do
As a Healthcare Certification Exam Specialist, you will play a key role in supporting AAPC's exam development ecosystem and educational initiatives.
Responsibilities include:
- Develop and maintain certification exam items that assess real-world healthcare knowledge and skills
- Support the creation of practice exams, study guides, courses, and additional educational resources
- Collaborate with subject matter experts, instructional designers, and internal stakeholders to ensure content accuracy and alignment with learning objectives and industry standards
- Conduct technical and quality reviews of exam and educational content
- Serve as an internal subject matter expert for certification and educational initiatives
- Lead and mentor Exam Development Committees and exam item authors
- Build and maintain exam competency maps and certification blueprints
- Coordinate beta testing and support item validation efforts, including pilot testing and psychometric review
- Stay current on coding guidelines, regulatory updates, healthcare compliance, and industry trends
- Participate in ongoing process improvement initiatives and team collaboration sessions
- Support exam platform administration and related technologies
- Assist with additional projects and strategic initiatives as needed
While every day is different, your work will generally include:
- Exam development and content creation
- Collaboration, technical review, and committee engagement
- Project coordination, blueprinting, and beta testing support
- Research, innovation, and process improvement initiatives - including exploring emerging AI tools and technologies that improve efficiency and content quality
What You Bring
Required Qualifications
- Active coding certification from a recognized organization (e.g., AAPC or AHIMA) required; exam development credentials from organizations such as ICE-CCP® (I.C.E.); or equivalent experience.
- Strong understanding of medical coding, billing, auditing, compliance, or revenue cycle operations
- Excellent written and verbal communication skills
- Strong attention to detail and organizational abilities
- Experience collaborating across technical and nontechnical teams
- Proficiency with Microsoft Office products
- Experience working in a coding or billing environment
- Experience in national exam item writing
- Experience in healthcare education, credentialing, or certification
- Familiarity with psychometrics, exam development, or adult learning principles
You are:
- Passionate about healthcare education and professional development
- A strong collaborator who enjoys working across teams
- Curious, innovative, and eager to improve processes
- Comfortable balancing detail-oriented work with strategic thinking
- Motivated by meaningful work that impacts thousands of healthcare professionals
- Demonstrates curiosity and adaptability in working with AI-powered tools and evolving technologies to enhance efficiency, innovation, and content quality
- Experienced medical coders or auditors seeking broader industry impact
- Professionals interested in certification development and assessment strategy
AAPC Values
DRIVEN
Self-starting, motivated, and accountable. You take initiative and pursue excellence with energy and confidence.
HUMBLE
Open to learning, feedback, and continuous growth. You value teamwork and recognize the contributions of others.
TRANSPARENT
Honest, trustworthy, and integrity-centered in every interaction.
SUPPORTIVE
Committed to empowering others and working together to overcome challenges.
INNOVATIVE
Creative, adaptable, and willing to tackle ambitious goals with resourcefulness and determination.
AAPC is an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, religion, national origin or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.
We are an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, religion, national origin, or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above-listed items.
About AAPC
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Salt Lake City, UT, US
Year founded
1988