Credentialing Team Manager | Remote WAH

Sutherland • Clifton, NJ

13d • Remote

About The Position

Sutherland is a company that specializes in Artificial Intelligence, Automation, Cloud engineering, and Advanced analytics. They work with iconic brands worldwide, bringing a unique value proposition through market-leading technology and business process excellence. Sutherland has created over 200 unique inventions under several patents across AI and other critical technologies. They drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions through a seamless “as a service” model. They tailor proven and rapid formulas to fit unique business DNA, combining human expertise and artificial intelligence to unlock new possibilities and transformative outcomes.

Requirements

• Graduate/post-graduate with CPC/COC/CCS/CCS-P Certification by AAPC/AHIMA
• Minimum 6-7 years with hands on medical coding
• Be attentive to details
• Be able to work in a fast-paced environment
• Have good working knowledge in MS Office applications: Word, excel, & PPT
• Be able to adjust quickly and smoothly to changing priorities and conditions
• Have ability to interpret data, identify trends, and make suggestions for improvements
• Have strong analytical skills; be able to interpret data, identify trends, and make suggestions for improvements
• Be pro-active in developing trust and professional rapport with employees and team members; work as a team-player
• Have strong verbal and written communication skills; be able to communicate in a clear, constructive, and professional manner

Responsibilities

• Keep Management Updated: Relay vital information in the form of timely and accurate credentialing reports and compliance status updates.
• Impact the Bottom Line: Develop effective credentialing strategies based on accurate data analysis, regulatory requirements, and operational observations.
• Define Our Reputation: Oversee and manage credentialing quality and compliance standards to guarantee provider satisfaction and regulatory adherence; provide coaching and feedback to credentialing staff.
• Strengthen Relationships: Establish and maintain communication with providers, payers, and internal stakeholders; understand credentialing needs, resolve verification issues, and meet compliance expectations.
• Take the Lead: Monitor credentialing workflows and application queues as per defined timelines and targets; report out any delays or compliance gaps and take necessary action; perform root cause analysis on credentialing defects and implement corrective actions; drive credentialing turnaround time improvement initiatives; focus on meeting regulatory and payer requirements; meet credential maintenance and renewal goals set by the organization; be self-motivated to involve in staff development and continuous process improvement.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree