Credentialing & Clinical Quality Specialist
Organization: Vecinos, Inc. Address: 19 Smoky Mountain Drive, Franklin, NC 28734 Phone: (828) 293-2274 Website: www.vecinos.org Position: Credentialing & Clinical Quality Specialist Location: Franklin, NC, with hybrid/remote flexibility Compensation: $18–23 per hour Benefits: Retirement Classification: Non-Exempt, Permanent, Part-Time Organization Description Vecinos is a non-profit, 501(c)(3) organization providing bilingual, integrated primary and mental health care through outpatient and mobile clinics. Services include outreach, health education, and case management for uninsured, low-income adults in far-western North Carolina. We foster a positive, team-oriented environment and operate within a non-traditional setting with limited resources. Schedules and hours may vary throughout the year. Purpose The Credentialing & Clinical Quality Specialist is responsible for supporting provider credentialing, privileging, and compliance processes, while also contributing to clinical data integrity and quality reporting. This role ensures provider records meet HRSA and regulatory requirements and supports accurate documentation for organizational reporting and performance improvement. This position reports to the Chief Operating Officer.
Key Responsibilities
- Credentialing and Workforce Compliance
- Coordinate credentialing, onboarding, and clearance processes for all individuals with patient access, including providers, staff, volunteers, students, and observers
- Maintain comprehensive and organized credentialing files in alignment with HRSA requirements
- Track and verify required documentation (e.g., licenses, certifications, immunizations, training, background checks, agreements)
- Ensure all workforce members are appropriately screened, approved, and documented prior to patient interaction
- Monitor expiration dates and proactively manage renewals and re-verification processes
- Support privileging processes for licensed clinical staff as applicable
- Maintain systems to track workforce compliance status and readiness
- Assist with audits, site visits, and HRSA compliance reviews
Communicate regularly with leadership regarding credentialing status, risks, and gaps
- Clinical Data and Quality Support
- Review patient records to support accurate documentation and coding for reporting purposes
- Assist with data validation and reporting aligned with HRSA requirements (e.g., UDS)
- Maintain accurate data entry in Athena EHR
- Support staff in improving documentation practices and data quality
Required Qualifications
- High school diploma or equivalent required
- Minimum of 1–2 years of experience in healthcare administration, health information, or clinical support role
- Basic knowledge of medical terminology and clinical documentation practices
- Experience with electronic health records (EHR) systems
- Strong data entry skills with high level of accuracy and attention to detail
- Proficiency in Microsoft Office (especially Excel)
- Strong organizational, time management, and problem-solving skills
- Ability to manage multiple priorities and meet deadlines
- Effective written and verbal communication skills
- Ability to maintain strict confidentiality (HIPAA compliance)
- Demonstrated ability to work independently and collaboratively
- Commitment to serving underserved and diverse populations
Preferred Qualifications
- Associate’s or Bachelor’s degree in Health Information Management, Public Health, Healthcare Administration, or related field
- Experience with HRSA reporting requirements (e.g., UDS) or quality improvement initiatives
- Familiarity with Athena EHR or similar platforms
- Experience with medical coding (CPT, ICD-10) in a clinical or reporting context
- Experience with data reporting, dashboards, or quality metrics tracking
- Knowledge of healthcare compliance standards and regulatory requirements
- Experience supporting audits, chart reviews, or quality assurance processes
- Previous experience training or supporting staff in documentation workflows