Medical Credentialing Specialist

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏱ Part Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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HCCS - Healthcare Coding & Consulting Services

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2006

🤝 B2B

📋 Compliance

B2B • Compliance

HCCS - Healthcare Coding & Consulting Services is a US-based provider of remote medical coding, documentation auditing, clinical documentation improvement (CDI), DRG clinical validation, HIM services, and interface/EHR support for healthcare providers. They employ only US-based, W-2 coders and auditors and emphasize coding accuracy, regulatory/compliance-focused audits, and integration with common EHR systems (EPIC, Meditech, CPSI). HCCS serves hospitals and healthcare partners with B2B services and also hires and trains coding professionals.

📋 Description

• Manage the credentialing and recredentialing process for approximately 132 providers across 12 healthcare facilities. • Verify provider licensure, certifications, education, work history, malpractice coverage, and other required documentation. • Prepare and submit credentialing, recredentialing, payer enrollment, and hospital privilege applications. • Maintain accurate provider records and credentialing databases. • Monitor expiration dates and coordinate timely renewals to maintain compliance. • Communicate with providers, payers, and facility administrators to resolve credentialing issues and obtain required documentation. • Ensure compliance with NCQA, CMS, Joint Commission, payer, and organizational standards. • Generate reports and maintain organized workflows to support credentialing operations.

🎯 Requirements

• Minimum of two (2) years of provider credentialing experience in a healthcare setting. • High school diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration or a related field preferred. • Working knowledge of NCQA, CMS, and Joint Commission credentialing standards. • Experience with payer enrollment and provider credentialing processes. • Proficiency with Microsoft Office and credentialing platforms such as CAQH and MD-Staff. • Excellent organizational, communication, and problem-solving skills. • Ability to manage multiple priorities while meeting deadlines in a remote work environment.

🏖️ Benefits

• Fully remote, part-time position • Direct-hire W-2 employment • Competitive compensation • 401(k) • Paid time off • Supportive, collaborative team environment • Long-term career stability with a family-owned company