Credentialing Coordinator

Aspire Health and Community Services•Braintree, MA

2h•$22 - $24

About The Position

The Credentialing and Medical Records Coordinator is a cross-functional support role within the Compliance & Quality Department, reporting to both the Senior Health Information Management Supervisor and the Senior Director of Quality and Risk. The position ensures the accuracy, completeness, and integrity of documentation in electronic and paper medical record systems and provides direct support to credentialing operations. It supports high-quality standards and compliance with documentation, data access, and regulatory requirements. The role supports daily health information management operations, responds to release-of-information requests, audits, and investigations, manages paper records, and coordinates with an off-site storage vendor. It runs EHR reports, monitors documentation and access, leads error correction efforts, and supports staff training and collaboration with IT, Billing, and Program Managers. Credentialing duties include gathering onboarding documentation, liaising with a primary source verification vendor, coordinating provider enrollment and payer rosters, maintaining credentialing and recredentialing records, and responding to credentialing inquiries. The position also contributes to quality improvement, compliance initiatives, audits, and reporting. Occasional travel to programs is required.

Requirements

Demonstrated ability to learn and master basic concepts of medical record-keeping requirements.
Excellent written and verbal communication skills.
Excellent customer service skills.
Ability to follow directions and work independently and as a team member.
Ability to handle multiple tasks and short- and long-term projects concurrently.
Ability to perform detailed work accurately and take initiative to learn new tasks.
Strong analytical, critical-thinking, interpersonal, and organizational skills.
Ability to maintain confidentiality and handle highly sensitive information with discretion.
Intermediate proficiency with Office 365 applications.
Occasional travel to programs.
One year of experience in a health care or human service system is preferred.

Nice To Haves

Associate degree in human service, health care administration, business administration, or a related field.
One year of experience in a health care or human service system.

Responsibilities

Support daily Health Information Management operations.
Respond to release-of-information requests, audits, and investigations in a timely and professional manner.
Manage and process paper medical records stored on-site and off-site.
Coordinate with the off-site storage vendor to retrieve or manage records.
Run scheduled and ad hoc reports from the EHR to monitor documentation completion and accuracy.
Help staff understand and use report data to improve documentation.
Lead EHR error correction efforts and track resolution timelines.
Conduct EHR access audits and monitor usage patterns.
Assist in training new and existing staff on EHR functionality and documentation expectations.
Help develop and update EHR and HIM training materials.
Collaborate with IT, Billing, and Program Managers to troubleshoot and resolve documentation-related issues.
Provide administrative support for credentialing processes.
Gather and submit required credentialing documentation for new staff onboarding.
Serve as a liaison to the primary source verification vendor and track submitted credentials.
Coordinate provider enrollment and roster management with contracted payers.
Maintain credentialing and recredentialing records and ensure licenses, certifications, and registrations remain current.
Support quality, compliance, operational, and financial initiatives through credentialing documentation and regulatory reporting.
Assist with audits of clinical supervision documentation and compliance with organizational and regulatory requirements.
Respond to internal and external credentialing inquiries from managers, staff, and regulatory bodies.
Contribute to department quality improvement and compliance initiatives.
Participate in internal audits and special projects.
Support data validation and reporting related to quality measures and compliance indicators.