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The Licensing Specialist is the final reviewer of the provider/applicant's licensing and medical credentialing. HR serves as the initial reviewer; the Licensing Specialist is the final reviewer of the provider/applicant's licensing and medical credentialing.
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AS PRIMARY REVIEWER, SUPPORTS CORE MEASURES IMPLEMENTATION AS DEFINED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND THE JOINT COMMISSION (TJC) TO SUPPORT OVERALL PI DATA SUBMISSION PROCESS: Supports the MHCC hospital performance evaluation guide requirements and the HSCRC quality initiative requirements that are consistent with Core Measures requirements from CMS/TJC. Supports data quality and integrity in the Core Measures review and submission process.
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The Credentialing Specialist is responsible for the timely and accurate submission of payer. provider roster would include identification and flagging of gaps or potential risks, monitoring and addressing of.
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