Career Details

Certified Provider Credentialing Specialist

Description

The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a health care organization including, but not limited to, health plans, group practices, credentialing verification organizations or hospitals (health systems).<br>A CPCS is an integral part of a credentialing team and may be responsible for maintaining compliance with regulatory and accrediting bodies, participating in the development and implementation of credentialing processes and procedures, governance bylaws, department rules and regulations, medical staff, organizational, and/or practitioner/provider policies, maintaining an accurate practitioner database, and collecting and analyzing verification information.

Certifying Organization

National Association Medical Staff Services

Details

If significant education or training is needed? Yes

If significant work experience is needed? Yes

Is an exam required? Yes

How many years until certification must be renewed? 3 year(s)

Certification can be renewed with Continuing Education Units? Yes

Certification can be renewed with re-examination? Unknown

Certification can be renewed with Continuing Professional Development? Yes

Certification can be renewed in multiple ways? No

Certificates

Certificate name

Certified Healthcare Access Manager

Certifying Organization

National Association of Healthcare Access Management

Type

C - Specialty

Certificate name

Certified Medical Interpreter

Certifying Organization

The National Board of Certification for Medical Interpreters

Type

A - Core

Certificate name

Certified Medical Compliance Officer

Certifying Organization

Practice Management Institute

Type

A - Core

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