Risk, Compliance & Credentialing Coordinator

Risk, Compliance & Credentialing Coordinator Metro Community Provider Network Inc - 3.6 Wheat Ridge, CO Job Details Full-time $28 - $32 an hour 1 hour ago Benefits Health savings account Paid holidays Loan repayment program Health insurance Dental insurance Flexible spending account Tuition reimbursement Paid time off Employee assistance program Vision insurance 401(k) matching Employee discount Qualifications High school diploma or

GED Full Job Description Description:

Who we are At STRIDE Community Health Center, we're dedicated to more than just providing healthcare, we're committed to making a lasting impact on the lives of our patients and the communities we serve. As one of Colorado's largest Federally Qualified Health Centers, we offer comprehensive services, including primary care, dental, pharmacy, behavioral health, health education, and outreach, across our 13 clinics in the Denver Metro area. With over 35 years of serving our community, our growing team is at the heart of this mission. We believe healthcare is about more than treating illness; it's about fostering wellness and addressing the unique needs of every person, ensuring that no one is left behind. If you're passionate about making a meaningful difference, thrive in a collaborative environment, and are ready for a career that transforms lives, including your own - STRIDE is the place for you. Summary 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.

Essential Duties and Responsibilities Risk & Compliance:

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.

Credentialing and Privileging:

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.

Requirements:

STRIDE Values Community:

All are welcome at STRIDE - our patients are the center of our work.

Trust:

Our patients feel safe, empowered, and supported.

Value:

We respond to patients' needs by providing effective, affordable care.

Compassion:

We treat patients with kindness, empathy, and dignity.

Education and Experience Required:

Minimum of 2 years of experience in healthcare compliance. Credentialing and privileging experience preferred . Internal auditing experience preferred .

Required:

High school diploma or GED; bachelor's degree in relevant field preferred . Knowledge, Skills and Abilities 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. Miscellaneous Requirements 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. Work Environment, Physical and Mental Demands The work environmental characteristics, physical and mental demands described here are representative of those an employee encounters while performing the essential functions of this job on a routine or consistent basis. This position is 75% remote, with some attendance required on an inconsistent basis on-site at STRIDE administrative offices and STRIDE clinics (e.g., to assist with on-site audits and other risk and compliance activities in STRIDE clinics). Enters data into computer programs via computer, mouse, and keyboard. Moves about the office environment and occasionally to other locations. The role also requires sitting, standing, and lifting