Credentialing Coordinator

Sutter Health

Credentialing Coordinator at Sutter Health ensuring compliance with standards and health plan requirements. Responsible for credentialing functions and maintaining physician information databases.

Posted 7/15/2026full-timeRemote • California • 🇺🇸 United StatesJuniorMid-Level💰 $32 - $47 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical provider credentialing and accreditation principles, ensuring compliance with federal and state requirements. Proficient in data analysis and reporting, with strong organizational skills to manage confidential information effectively.

Highest-signal resume keywords

Medical Provider CredentialingAccreditation PrinciplesData AnalysisMS Excel ProficiencyOrganizational Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Credentialing FunctionsPrimary Source VerificationData Entry SkillsReport PreparationDocumentation Processes

Soft Skills

Independent JudgmentProblem SolvingConfidential Information Management

Tools & Technologies

MS WordMS ExcelMS AccessComputer Spreadsheets

Industry Keywords

Program IntegrityHealth Plan CompliancePhysician Leaders CommunicationCredentialing Verification Organization

About the role

Key responsibilities & impact

Responsible for completion of credentialing functions
Ensures program integrity and compliance with standards, federal/state requirements, and health plan credentialing requirements
Maintains relationships with health plan auditors, communicates and works with physician leaders on credentialing issues
Works with other departments in multiple areas that relate to credentialing issues
Audits Credentialing Verification Organization's released files to ensure it obtains primary source verification of required physician information
Maintains database of current and accurate information concerning licensure, board certification, professional liability coverage and claims for physicians, contracted providers and Allied Health Professionals

Requirements

What you’ll need

HS Diploma or General Education Diploma (GED)
2 years recent relevant experience
Knowledge of medical provider credentialing and accreditation principles, processes, procedures, and documentation
Knowledge of computer spreadsheets and other related applications
Ability to use independent judgment and to manage and impart confidential information
PC skills (MS Word, MS Excel, and MS Access) and proficiency regarding data entry skills
Organizational skills with ability to prioritize, problem solve and meet deadlines
Ability to analyze, interpret, and draw inferences from research findings, and prepare reports
Able to use independent judgment and to manage and impart confidential information
Ability to analyze data/reports and to make recommendations

Benefits

Comp & perks

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