Provider Credentialing Specialist Certificate

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Are you working in healthcare or a medical services profession and seeking to move into the field of provider credentialing? Or, are you in direct patient care and planning a transfer to the non-patient side? Here is your opportunity! This 12 credit certificate (with the option to transfer in 6 credits) gets you ready to take the CPCS and/or CPMSM exams (offered by NAMSS) to become a Credentialing Specialist.

Learn from our industry experts as you add the skills sought out by today’s employers including hospitals, group practices, ambulatory care service providers, credentialing agencies, health insurers and managed care organizations. Plus, this certificate is a pathway to either the Bachelor of Science in Health Information Management or Health Care Administration.

The Provider Credentialing Certificate is designed to prepare students to sit for the CPCS (Certified Provider Credentialing Specialist) and/or CPMSM (Certified Professional Medical Services Management) credential exams offered by the NAMSS. Students are responsible for reviewing the credential exam requirements.

This Certificate is 12 credits and 6 of these credits must be completed at Charter Oak. All courses must be completed with a grade of 'C' or better.

  • HCA 101: Health Care Systems and Administration

    3 credits
  • HCA 401: Regulatory & Accrediting Agencies Requirements for Health Care Organization

    3 credits
  • Provider Credentialing I

    3 credits
  • Provider Credentialing II

    3 credits
  • Total

    12 credits

Outcomes & Pathways

Students who complete a Provider Credentialing Specialist certificate will be able to:

  1. analyze an initial provider application along with supporting documentation for eligibility and completeness according to accreditation standards and federal regulations.
  2. analyze a provider reappointment or recredentialing application along with supporting documentation for eligibility and completeness according to accreditation standards and federal regulations.
  3. monitor and evaluate provider complaints, sanctions, and adverse information between credentialing cycles to maintain compliance with accreditation standards and federal regulations.

This certificate is a pathway to either the Bachelor of Science in Health Information Management or Health Care Administration.

The Provider Credentialing Certificate is designed to prepare students to sit for the CPCS (Certified Provider Credentialing Specialist) and/or CPMSM (Certified Professional Medical Services Management) credential exams offered by the NAMSS. Students are responsible for reviewing the credential exam requirements.

Please review all exam requirements.

Why Charter Oak State College?