Job Description

Job Title:
Credentialing Coordinator
Department:
Medical Staff Office
Shift:
1st
Full/Part:
Active Regular FT (72 to 80 hours per pay period)
Specialty:
Job Number:
2019-2839
Job Description:
Credentialing Coordinator
Coordinates Medical staff credentialing activities; responsible for providing varied clerical support for the Medical Staff Office, including data entry and physician database maintenance (ECHO); credentialing processes and other duties that support various Medical Staff Office activities. Serves as effective liaison between the Medical Staff and Medical Center Administration; provides insight into Medical Staff organization, bylaws, rules and regulations, State and Federal Regulatory Agencies, accreditation compliance and other critical matters that affect the healthcare environment.
Position Responsibilities:
+ Initiates, oversees, administers, verifies, compiles, manages and maintains confidential research required for credentialing of initial applicants (Physicians, Dentists, Podiatrists, etc., and Allied Health Professional staff.
+ Process according to established legal, State and Federal agency, State licensing board, and TJC standards.
+ Prepares and reports all research and forwards to departmental chairpersons, Medical Staff committees, and to the board for review and action.
+ Coordinates tracks and monitors flow of information to ensue the timely processing and notification of applicants in accordance to guidelines outlines in the Medial Staff Bylaws.
+ Implements, coordinates, monitors, and maintains effective credentialing processes intended to appropriately credential physicians and non-physicians for reappointment and/or clinical privileges. Monitors the process by auditing credentials files, medical staff committee and department meetings to ensure timely and appropriate appointment and privileging activities.
+ Process according to established guidelines set by the Medical Staff bylaws on an ongoing basis
+ Responsible for the maintenance of systems to ensure a method for Medical Staff review and privilege change requests.
+ Coordinates data collection process for Medical Staff reappointment, recredentialing and pre-delineation of privileges. Tracks and monitors process and completes necessary follow-up to ensure timely processing.
+ Follows legal, State and Federal agency, State licensing board, and TJC standards.
+ Consults with departmental chairmen after data is compiled and then prepares for Medical Staff committee review
+ Prepares and distributes materials for reappointment
+ Keeps current with all accreditation standards and legal requirements related to medical staff affairs ensuring that operations conform to current and appropriate regulations.
+ Coordinates Medical Staff department/committee meeting activities in collaboration with the manager of Medical Staff Services to include meeting preparation and management, development of pre-meeting agendas and after meeting follow-up activities in direct relations to all department/committee meetings assigned.
+ Responds to reference requests from other facilities (i.e., hospitals, HMO’s, insurance companies) concerning practitioners currently or previously on staff.
+ Initiate and carry out bi-weekly correspondence related to LEAP ON-Line training requirements
+ Inform department chairs of outstanding courses for their department staff
+ Contact physicians regarding outstanding courses
+ Act as liaison with Human Resources regarding course assignments
+ Staff tracking:
+ Provide quarterly updates to departments regarding staff members. Contact departments regularly regarding staff rosters; i.e., new physicians, terminations demographic information, etc to ensure accuracy of information the MSO database
+ Point person for external/internal query requests, e-mails to medical staff, Advance Practice Nurses and Physician Assistants, (Includes maintenance of e-mail addresses for above groups)
+ File, scan correspondence from medical staff files as needed. Data entry of faculty files.
+ Administrative Support:
+ Maintain office supplies for Medical Staff Office, Provide phone coverage
+ Assist with all ad hoc Medical Staff and House staff mailings. Assist with preparations for Annual & Semi Annual/Faculty meetings/Dinner.
+ Responsible for mailbox and locker assignment and upkeep.
+ Log meeting attendance for various committees, semi-annual, annual meetings and other ad-hoc duties as assigned.
Position Qualifications Include:
+ Associate’s degree from two-year college or 2-5 years credentialing experience in medical staff services
+ Certified by the National Association Medical Staff Services (NAMSS) or become certified within 12 months of hire. <
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