Site Inspector – Credentialing
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Job Location:
Indianapolis, IN - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
SH-690 Site Inspector Credentialing Indianapolis Indiana (Part-Time)
Summary:
Position Summary:
We are seeking a detail-oriented and highly organized Site Inspector - Credentialing - to join our team. The successful candidate will conduct on-site inspections of healthcare facilities to ensure compliance with credentialing standards regulatory requirements and quality benchmarks. This role is integral to maintaining a high-quality provider network and ensuring the safety and satisfaction of patients served by the network.
Key Responsibilities
- Site Inspections and Evaluations:
- Perform on-site inspections of provider facilities including clinical and administrative areas to assess compliance with company standards state and federal regulations and accreditation requirements (e.g. NCQA).
- Evaluate physical environments for cleanliness accessibility equipment maintenance and patient safety protocols.
- Review facility policies procedures and documentation related to patient care infection control and emergency preparedness.
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- Credentialing Verification:
- Confirm licensure certifications and accreditations of healthcare providers and facilities during site visits.
- Ensure adherence to operational and staffing standards including adequate training and credentialing of clinical staff.
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- Reporting and Documentation:
- Document findings in detailed inspection reports highlighting areas of compliance and deficiencies.
- Recommend corrective actions and follow up on implementation to ensure compliance.
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- Stakeholder Engagement:
- Act as a liaison between the provider network and the credentialing department to address compliance issues.
- Educate providers on credentialing standards and assist in improving their readiness for inspections.
- Conduct interviews with healthcare staff management and providers to gather insights on operations and patient care practices.
- Analyze staff qualifications and training programs to ensure adherence to best practices in healthcare delivery.
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- Quality Assurance and Continuous Improvement:
- Collaborate with internal teams to improve credentialing processes and provider onboarding.
- Participate in quality assurance initiatives to enhance overall provider network performance.
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- Travel:
- Travel to provider locations as required for on-site inspections.
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Qualifications
Education and Experience:
- Associates degree in Healthcare Administration Social Work Nursing Public Health or a related field Certified Medical Assistant or Registered Medical Assistant with relevant experience.
- 2 3 years of experience in clinical setting or healthcare operations.
Skills and Certifications:
- Understanding of state Medicaid guidelines regulations and policies
- Strong knowledge of healthcare accreditation standards (e.g. NCQA Join Commission
- Familiarity with regulatory requirements including HIPAA and OSHA
- Familiarity with coding practices (ICD 10 CPT coding) is preferred.
- Certification in healthcare credentialing or quality (e.g. CPCS CPHQ CJCP) is preferred.
- Excellent communication and interpersonal skills for provider engagement.
- Proficient in Microsoft Office Suite and credentialing software systems.
Other Requirements:
- Valid drivers license and reliable transportation for travel to provider sites.
- Ability to manage multiple inspections and meet deadlines in a fast-paced environment.
Syra Health is an equal opportunity employer and values diversity at all levels. Lived experience and non-traditional backgrounds are welcomed and encouraged.
Key Skills
- Account Payable
- Management
- Logistics Operations
- Civil Engineering
- Interior Fit-Out
