CVO Credentialing Coordinator Sr.

CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen—both inside our hospitals and out in the community. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life Colorado^TM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve.

CommonSpirit Health is one of the nation’s largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way.

You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.

Coordinates credentialing activities at the region level; including data entry and physician database maintenance; credentialing processes, expiration and other duties that support provider onboarding activities. Serves as effective liaison between the provider and the facilities throughout the credentialing process. Responsible for understanding State and Federal Regulatory Agencies requirements, accreditation compliance, and other critical matters that affect the healthcare environment. Performs other duties as assigned in an effective competent manner.

• Initiates and oversees the collection of primary source information for credentialing purposes at the region level. Verifies, compiles, manages and maintains confidential research required for credentialing of initial/reappointment applicants. Processes applications according to established legal, State and Federal agencies, State licensing board, TJC, and NCQA standards. Coordinates, tracks, and monitors flow of information to ensure the timely processing and notification of applicants in accordance with the guidelines established.

• Conduct quality reviews of new associates to ensure accuracy in file processing and data entry, and provide ongoing monitoring and mentorship for established CVO Coordinators to maintain compliance and performance standards.

• Support the CVO Manager with onboarding and training of new associates, including orientation to departmental processes, systems and performance expectations to ensure successful integration into the team. 

• Facilitate training sessions for associates and maintain up-to-date training materials ensuring resources accurately reflect current policies, procedures and adherence to Joint Commission, CMS, Facility Bylaws, and best practices.

• Continuously evaluate credentialing elements and the CVO processing checklist to ensure alignment with current standards, regulatory requirements and organizational policies, maintaining full compliance across all processes. 

• Manage quality improvement and data clean-up projects in collaboration with the Medical Staff team and Reporting & Data team to enhance accuracy, data integrity and overall process effectiveness.

• Serves as a subject matter expert on credentialing policies, regulatory standards (CMS, Joint Commission, facility standards) and industry best practices. 

• Conducts thorough analysis of all primary source documentation received for an assessment of qualifications/competencies.

• Assure appropriate education and training including procedural documentation has been provided to support the clinical privileges requested. Identifies any potential quality of care issues, behavioral problems, and/or other issues. 

• Summarizes and prepares credentialing information, including information about flagged concerns, for review and decisions. 

• Applies the credentials evaluation process uniformly to all initial and reappointment applications to ensure compliance with CommonSpirit Health credentialing procedures.

In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:

• Minimum of (3) years of experience in a Hospital Administrative Department or Credentialing Verification Organization (CVO). Comparable healthcare work experience may be considered.
• Bachelor degree required. In lieu of educational requirements previous work history and years of experience may/will be considered. 
• Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) Certification preferred.

Physical Requirements - Sedentary work - prolonged periods of sitting and exert up to 10 lbs. force occasionally

At CommonSpirit Mountain Region, we believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness. 

CommonSpirit Mountain Region’s Corporate Service Center is headquartered in Centennial, CO where our corporate leaders and centralized teams support our hospitals, clinics, and people – including marketing, human resources, employee benefits, finance, billing, talent acquisition/development, payor relations, IT, project management, community benefit and more. Many of our centralized teams offer a remote work option which supports a healthy work-life balance while still providing a culture of collaboration and community where incredible people are doing incredible things every day. 

We believe investing in our employees lets them know they truly matter. Your Total Rewards package includes compensation, benefits, retirement, wellness, leave, and other programs. Designed with your well-being in mind, we offer: 

• Several Medical, Dental, & Vision options.
• Spending Accounts including a Dependent Care FSA that can include an employer contribution
• Retirement account options with a generous employer match
• Tuition Reimbursement
• Student Loan Forgiveness, and so much more!

View more on our benefits HERE.