Risk, Compliance & Credentialing Coordinator

Metro Community Provider Network Inc•Wheat Ridge, CO

17d•Hybrid

About The Position

The Risk, Compliance and Credentialing Coordinator supports STRIDE’s risk and compliance programs by coordinating risk management and compliance tracking systems, assisting with credentialing and privileging activities, coordinating the Risk and Compliance Committee, reviewing and investigating incident reports, contributing to risk assessments and action plans, assisting with the Federal Tort Claims Act (FTCA) application, and partnering with departments across the organization. The primary function of this position is to support risk and compliance in ensuring STRIDE meets or exceeds compliance standards and minimizes risk.

Requirements

Minimum of 2 years of experience in healthcare compliance.
High school diploma or GED.
Proficiency in Microsoft Office (Word, Excel, Outlook) and Adobe Acrobat.
Knowledge of internet and intranet resources.
Strong written and verbal communication skills.
Strong proofreading skills with excellent attention to detail.
Highly organized with strong focus on accuracy, efficiency, and follow-through.
Ability to manage multiple tasks and projects while meeting deadlines in a fast-paced environment.
Strong task and project management skills.
Ability to use critical thinking and sound judgment in problem-solving.
Ability to interact professionally and build positive working relationships with patients, coworkers, and external contacts.
Ability to facilitate in-person, virtual, and conference meetings.
Ability to work independently with minimal supervision and in a self-directed manner.
Strong interpersonal skills with a collaborative and inclusive approach.
Ability to handle sensitive information ethically and responsibly, maintaining strict confidentiality of patient, employee, and organizational data.
Ability to follow directions and carry out assigned responsibilities accurately.
Demonstrates a proactive and professional attitude.
Compliance with employee health policies and procedures, including annual influenza (flu) vaccination or provide a medical/religious exemption, as well as undergo tuberculosis screening and testing.
Commitment to the mission, vision, and values of the organization.

Nice To Haves

Credentialing and privileging experience preferred.
Internal auditing experience preferred.
Bachelor's degree in relevant field preferred.

Responsibilities

Intakes, triages, and coordinates completion of all incident reports and patient grievances.
Collaborates with departments and staff to gather information and conduct incident investigations.
Prepares monthly data reports.
Maintains working knowledge of regulatory and statutory requirements, as well as internal policies and procedures.
Leads and coordinates the Risk and Compliance Committee.
Contributes to quarterly and annual risk assessments and action plans.
Conducts onsite audits and other risk and compliance activities.
Supports and contributions to the submission of STRIDE's FTCA deeming application and other regulatory reporting requirements.
Conducts HIPAA related investigations, breaches, assessments, and notifications.
Assists the Policy, Procedure & Credentialing Coordinator as directed by the Director of Risk and Compliance.
Performs other related duties assigned by the Director of Risk and Compliance.
Completes credentialing and privileging requirements for compliance activities including FTCA application.
Collaborates with human resources as needed on gathering information from providers and staff.
Communicates with providers and staff to maintain accurate credentialing and privileging documentation, including assistance with MD Staff application system based on regulatory and internal policies.
Assists with completing monthly reports to Board of Directors for credentialing and privileging approval.

Benefits

Medical, dental, and vision coverage
Paid time off (PTO) and holidays
Health Savings Account (HSA) and Flexible Spending Account (FSA), including dependent care options
401(k) with matching
Work-life balance
NHSC Loan Repayment
Tuition reimbursement and/or Continuing Medical Education (CME)
No nights, weekends, or major holidays
Employee Assistance Program (EAP)
Employee Discounts on top attractions, hotels, more