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.

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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.

Question: How do I redeem my qualified credential(s) for undergraduate and/or graduate college credit with Charter Oak?

Answer: Tell us which credentials/certifications you’ve earned when you apply along with your member ID. We’ll do the rest. View the full list of evaluated professional credentials for credit.

  • Certified Coding Associate (CCA) up to 20
  • Certified Coding Specialist (CCS) up to 23
  • Certified Documentation Improvement Practitioner (CDIP) up to 19
  • Certified Inpatient Coder (CIC) up to 17
  • Certified Clinical Medical Assistant (CMA) up to 10
  • Certified Nurse Aide (CNA) up to 4
  • Neurophysiologic Intraoperative Monitoring (CNIM) up to 35
  • Certified Outpatient Coder (COC) up to 23
  • Certified Professional Biller (CPB) up to 9
  • Certified Professional Coder (CPC) up to 19
  • Certified Professional Compliance Officer (CPCO) up to 23
  • Health Information and Management Systems, Certified Professional (CPHIMS) up to 9
  • Certified Professional Medical Auditor (CPMA) up to 25
  • Certified Phlebotomy Technologist (CPT) up to 4
  • Risk Adjustment Coder (CRC) up to 23
  • Clinical Research Coordinator (CRC) up to 29
  • Emergency Medical Services Responder (EMR) up to 2
  • Emergency Medical Services Technician (EMT) up to 6
  • Emergency Medical Services Technician, Advanced (EMT-A) up to 8
  • Health Services Executive (HSE)* up to 19
  • Nurse, Licensed Practical (LPN) up to 16
  • Magnetic Resonance Imaging technician (MRIT) up to 16
  • Registered Behavioral Technician (RBT) up to 3
  • Registered Electroencephalographic Technologist (RET) up to 19
  • Registered Health Information Administrator (RHIA) up to 48
  • Registered Health Information Technician (RHIT) up to 37
  • Registered Medical Assistant (RMA) up to 24
  • Nurse, Registered (RN) up to 64
  • Radiologic Technologist (RT) up to 33
  • Paramedic up to 41

*Approved for Graduate level.

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