CERTIFICATION

Certified Provider Credentialing Specialist

The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations.

A CPCS is an integral part of a credentialing team whose responsibilities include but are not limited to:

  • Maintaining compliance with regulatory and accrediting bodies;
  • Participating in the development and implementation of credentialing processes and procedures;
  • Credentialing of physicians, allied health and other practitioners;
  • Overseeing or participating in the development of and adherence to:
    • Governance bylaws;
    • Department rules and regulations;
    • Policies pertaining to medical staff, practitioner/provider and the organization; and
  • Collecting and maintaining an accurate practitioner database and analyzing verification information.

Why Certify?

Certification by NAMSS puts you in the driver’s seat: It increases your potential for advancement in any healthcare environment and indicates to your supervisor(s) and accreditation surveyors that you are an expert in the field, both which enhance your value and job security. Here are some other reasons for credentialing specialists to seek certification by NAMSS:

  • More than 27% of current certificants received a salary increase as a result of their certification by NAMSS.
  • By achieving your CPCS designation, you gain confidence and demonstrate professional competence in the application of your knowledge.
  • CPCS certificants cite recognition and respect from peers and supervisors as a top value of certification.

Certified Professional Medical Services Management

The Certified Professional Medical Services Management (CPMSM) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, or credentialing verification organizations.

A CPMSM is an integral part of a credentialing team whose responsibilities include but are not limited to:

  • Maintaining compliance with regulatory and accrediting bodies;
  • Developing and implementing credentialing/privileging processes and procedures;
  • Developing and implementing provider enrollment processes and procedures;
  • Overseeing development of and adherence to
    • Governance bylaws;
    • Department rules and regulations; and
    • Policies pertaining to medical staff, practitioner/provider, and the organization

Why Certify?

Certification by NAMSS puts you in the driver’s seat: It increases your potential for advancement in any healthcare environment and indicates to your supervisor(s) and accreditation surveyors that you are an expert in the field, both which enhance your value and job security. Here are some other reasons for medical services managers to seek certification by NAMSS:

  • By achieving certification as a CPMSM, you gain respect from physicians and medical staff leaders and validate your experience in management of medical services.
  • The knowledge necessary for certification as a CPMSM may require experience beyond your current healthcare environment. By increasing your breadth of knowledge beyond one particular healthcare environment, you increase your marketability, should you choose to seek new employment.
  • Certificants with the CPMSM designation have proven their in-depth knowledge of medical staff bylaws, hospital procedures and standards, management processes and accreditation standards, policies and procedures, which will help them communicate better with physicians and all key stakeholders.

You may exam eligibility requirements on the National Association Medical Staff Services (NAMSS) website.