Top 24 Clinical documentation specialist Jobs in Madera Ca

Credentialing Specialist
Valley Health Team, Inc. —Fresno, CA
- $23.41 - $30.54 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Access
- Disability insurance
- Health insurance
Quick Apply
HIM Data Specialist - Clinical Documentation/Coding
Valley Children's Healthcare —Madera, CA
- $26.65 - $37.90 an hour
- Email
- RN License
- High school diploma or GED
- Critical & Intensive Care
Supervisor Health Information Management
Valley Children's Healthcare —Madera, CA
- $37.75 - $52.20 an hour
- Email
- Microsoft Outlook
- HIPAA
- Mid-level
Medical Records Specialist
The Nephrology Group, Inc. —Fresno, CA
- $21 - $25 an hour
- Full-time
- Medical office experience
- HIPAA
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
2d
Coding Compliance Auditor
Community Health System —Fresno, CA
- $41.84 - $54.39 an hour
- 8 hour shift
- Nursing
- 3 years
- Epic
- Free parking
- 403(b) matching
Clinical Risk Educator, Remote
Aledade —Fresno, CA
- $69,000 - $91,000 a year
- Full-time
- Remote
- Anatomy knowledge
- RN License
- Clinic experience
- Paid parental leave
- Paid holidays
Quick Apply
Billing Specialist
WESTCARE CALIFORNIA INC —Fresno, CA
- $24 an hour
- Full-time
- CPR Certification
- Current TB test
- Mid-level
Quick Apply
6d
Staff RN - ECMO Spec / FT, nights
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
3h
Staff RN - ECMO Spec / FT, D/N
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
3h
Clinical Documentation Integrity (CDI) Specialist
Addison Group —United States
- $45 - $50 an hour
- No weekends
- Remote
- Nursing
- Medicine
- Anatomy knowledge
- Health insurance
- Dental insurance
Quick Apply
8d
Travel IMC RN Job in Birmingham, Alabama
GIFTED Healthcare —United States
- $2,071.19 - $2,122.06 a week
- Overtime
- Nursing
- Medication administration
- RN License
- Health insurance
- Dental insurance
Quick Apply
Travel PCU RN in Memphis, Tennessee
GIFTED Healthcare —United States
- $2,043.40 - $2,135.99 a week
- Overtime
- Working with individuals with developmental disabilities
- Vital signs
- RN License
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse Radiation Oncology
Florida Cancer Specialists & Research Institute —United States
- Full-time
- Background check
- CPR Certification
- Microsoft Excel
- Tuition reimbursement
- 401(k) matching
13d
Medical Billing Specialist/Main Street/2334/SB
Peace River Center —United States
- Full-time
- Management
- Medical office experience
- HIPAA
3d

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Credentialing Specialist

Valley Health Team, Inc. -
Fresno, CA

Quick Apply

Job Details

Full-time
$23.41 - $30.54 an hour

Benefits

Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Microsoft Word
Microsoft Excel
Microsoft Access
In-person customer service
Microsoft Office
High school diploma or GED
Driver's License
DEA License
Productivity software
Human Resources
Associate's degree
Leadership
Documentation review

Full Job Description

BASIC FUNCTIONS:

The Credentialing Specialist/HR is responsible for the initial and ongoing credentialing and privileging process of all new and established providers and clinical staff. Tracks all re-credentialing, prepares and submits required forms, gathers needed documentation and information for review and final approval by the Board. Maintains current knowledge of eligibility and enrollment requirements and communicates changes to Director of Human Resources and Chief of Quality Improvement. In addition, this position will support the HR department in general human resources activities as needed.

DUTIES AND RESPONSIBILITIES

1. Review credentialing of medical providers (LIP) and clinical staff (OLCP and OCS) assure that all documentation has been obtained, reviewed, and verified.

2. Responsible for submitting and updating credentialing documents to all necessary agencies for providers and clinical staff prior to their start date; submit credentialing and privilege documentation to necessary departments for health plan credentialing and for grant purposes.

3. Maintain current credentialing files for all providers and clinical staff: medical, dental, optometry, behavioral health, etc.; updating as necessary or required.

4. Handle requests for copies of records or other data; support patients and staff needs by researching questions, calls, and requests for information; responds to correspondence within sphere of knowledge and distribute to appropriate individuals.

5. Maintain malpractice insurance policies, complete reports, and renewal applications.

6. Shall implement a credentialing tracking system for license, DEA and professional liability expirations and will maintain a database on all; provider, licensed/certificated staff.

7. Track all CME requirements for each professional employee in accordance with current policy and as required by funding, licensing, and credentialing requirements; sends out notifications prior to deadlines.

8. Remain current on all aspects of managed care and regulations and health plan requirements; communicate changes to appropriate management and affected staff.

9. Ensure that clinician staff is eligible to work through annually queries of National Practitioners Data Bank in accordance with VHT credentialing protocol.

10. Get new providers’ National Provider Identifier (NPI) numbers in accordance with HIPAA regulations.

11. Support the continual credentialing functions by facilitating clinician requests for re-certifications (e.g. DEA, State Practice License, BLS card, etc.)

12. Assist providers with initial process of CAQH and PECOS and re-attestation of CAQH.

13. On a temporary basis, may be required to work at any satellite facility.

14. Contribute to team effort by assisting the HR department as needed and while maintaining confidentiality of VHT’s business.

15. Work cooperatively with all staff members and outside sources in a professional manner to deliver a high level of service.

16. Observe and practice all VHT Patient Experience Service Standards as outlined in “World Class Practices: My Commitment to Care (which I have read and signed). Practice CICARE when interacting with patients, their families, visitors, or internal customers.

17. Practice CICARE phone etiquette during all phone interactions.

18. Always exercise courtesy whenever patients, family members, visitors and co-workers are present.

19. Respect privacy and dignity of our patients, family members, visitors and co-workers.

20. Maintain professionalism in the presence of patients, their families, visitors and co-workers.

21. Act as a role model, verbally and behaviorally demonstrating skill, enthusiasm, positive problem solving, commitment and loyalty to the profession and the organization.

22. Follow applicable regulations: Joint Commission, OSHA, HIPAA, and CLIA.

23. Serves and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirements, and The Joint Commission Accreditation of Healthcare Organization standards.

24. Perform other related duties, which may be inclusive, but not listed in the job description.

MINIMUM QUALIFICATIONS:

1. High School Diploma or GED equivalency and an additional two (2) years extended education with focus on general office functions

2. Certificate in Credentialing or Degree in HR preferred

3. Minimum of two (2) years credentialing experience; Two (2) or more years in HR or Administrative office setting preferred

4. Must be computer literate and have working knowledge of MS Office Suite (e.g. Word, Excel, Access, Visio, etc.)

5. Be self-motivated and have the ability to prioritize work and meet deadlines

6. Modern office practices and procedures (including email)

7. Excellent oral and written communication skills – be able to provide information in a clear and concise manner; good interpersonal skills

8. Must demonstrate integrity, sound judgment and strong leadership skills

9. Maintain and enforce the highest level of quality standards and customer service

10. Ability to be flexible with work schedule and available to work at all site locations

11. Must have own transportation, valid California Driver’s License and current proof of automobile insurance coverage.

12. Demonstrated ability to provide world-class patient experience using CICARE principles and practices. Ability to be proactive and to go above and beyond the call of duty; take initiative to provide a world class patient experience in all encounters via email, phone or in person.

TYPICAL WORKING CONDITIONS: The office setting is a normal work environment. Occasionally work during early morning, evening or weekend. May be subjected to temperature variances in the office.

TYPICAL PHYSICAL DEMANDS: Requires sitting, standing, or walking for up to eight hours a day. Some bending, stretching, or reaching may be necessary. Lifting up to 40 pounds may be required on occasion. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contact.

Job Type: Full-time

Pay: $23.41 - $30.54 per hour

Benefits:

401(k) matching
Dental insurance
Disability insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance

Schedule:

Monday to Friday

Education:

Associate (Preferred)

Experience:

Microsoft Office: 4 years (Preferred)
Microsoft Word: 2 years (Preferred)
credentialing: 2 years (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

clinical documentation specialist jobs in madera ca

Credentialing Specialist

HIM Data Specialist - Clinical Documentation/Coding

Supervisor Health Information Management

Medical Records Specialist

Coding Compliance Auditor

Clinical Risk Educator, Remote

Billing Specialist

Staff RN - ECMO Spec / FT, nights

Staff RN - ECMO Spec / FT, D/N

Clinical Documentation Integrity (CDI) Specialist

Travel IMC RN Job in Birmingham, Alabama

Travel PCU RN in Memphis, Tennessee

Registered Nurse Radiation Oncology

Medical Billing Specialist/Main Street/2334/SB

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