Coordinator Credentialing - Medical Staff Services - St. Francis Medical Office Building

Roper St. Francis Healthcare•Charleston, SC

About The Position

The Medical Staff Credentialing Coordinator completes credentialing and privileging for physicians and allied health professionals, ensuring compliance with CMS, The Joint Commission, South Carolina regulations, and the RSFH Credentialing Plan. The role processes initial and reappointment applications, performs primary source verification, coordinates with Medical Staff Leadership and Credentials Committees, and supports timely provider appointment and reappointment. It follows established workflows and bylaws while maintaining accuracy, communication, confidentiality, and strong customer service. The position may also handle payer enrollment and clinical competency evaluations when applicable or requested. The coordinator maintains provider data and credentialing files, prepares documentation and reports for review, coordinates committee meetings and minutes, distributes Board correspondence, and notifies hospital departments of provider changes. The role supports the Manager of Medical Staff Services, contributes to quality improvement and accreditation preparation, monitors compliance, and maintains knowledge of relevant bylaws and regulatory requirements. Other duties may be assigned to support departmental operations.

Requirements

High school education or GED required.
At least two years of credentialing experience in a Medical Staff Office, Centralized Credentialing Organization, or managed care environment required.
NAMSS certification (CPCS or CPMSM) is required within five years if not already obtained, subject to the stated exception for long-term RSFH Medical Staff Services employees.
Skills in medical staff credentialing, data collection, data entry, healthcare policies, and confidentiality.
Ability to manage multiple priorities and deadlines with attention to detail and accuracy.
Professional communication, active listening, writing, proofreading, relationship building, teamwork, and conflict resolution skills.
Critical thinking, flexibility, self-motivation, accountability, and autonomy.

Nice To Haves

NAMSS certification (CPCS or CPMSM) preferred at hire.
Bachelor’s degree preferred.
Membership in national, state, or local Medical Staff Services organizations preferred.
Experience with Credentialstream credentialing software preferred.

Responsibilities

Process and manage medical staff and allied health credentialing applications, including electronic applications and primary source verification of education, training, licensure, DEA, malpractice coverage, affiliations, references, and background checks.
Ensure credentialing and privileging work complies with applicable TJC, NCQA, CMS, and South Carolina requirements.
Manage initial and reappointment processes, privilege requests, application status communications, eligibility review, discrepancy resolution, and expirable verification.
Prepare practitioner-specific information and complete compliance checkpoints so files are ready for review by credentialing reviewers, committees, and Medical Staff Leaders.
Handle payer enrollment for employed and contracted providers when applicable, including electronic enrollment applications, provider-data updates, and stakeholder status communications.
Request additional documentation, collaborate with credentialing auditors to correct deficiencies, and maintain complete, accurate files and provider database records.
Meet quality benchmarks for application turnaround times, accuracy, regulatory metrics, and primary source verification.
Maintain awareness of applicable regulatory guidelines through continuing education.
Communicate professionally with providers, colleagues, leadership, and others to obtain missing information and resolve issues.
Distribute Board correspondence and notify hospital departments of new medical staff members or provider changes.
Attend Credentials Committee, CMEC, and other meetings as required.
Provide administrative support to the Manager of Medical Staff Services and maintain privacy and confidentiality.
Participate in FPPE, OPPE, and FPPE for cause when requested; prepare structured reports, investigate discrepancies or adverse findings, and coordinate physician leader review of competency data.
Maintain accurate credentialing databases and practitioner information, and prepare reports, mailing lists, labels, and rosters as needed.
Collect current information regularly from Professional Medical Staff members and process KEPRO acknowledgements, 340 B forms, provider rosters, and other RSFH initiatives when requested.
Coordinate agendas, gather materials, prepare electronic meeting packets, issue meeting notices, transcribe and revise minutes, track follow-up items, and maintain minutes and attendance records.
Assist with continuous quality improvement, policy and procedure updates, TJC accreditation preparation, compliance monitoring, and reporting issues to the Manager of Medical Staff Services.
Maintain current knowledge of Medical Staff Bylaws, Rules, and Regulations; participate in staff meetings and professional development activities as assigned.
Facilitate communication between Medical Staff Services and other departments, including managing calls, relaying updates, and notifying departments of provider changes or medical staff issues.
Perform other assigned responsibilities to support departmental operations and organizational needs.

Benefits

Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions when eligible.
Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources; and discounts.
Paid time off, parental and FMLA leave, and short- and long-term disability.
Tuition assistance, professional development, and continuing education support. Benefits may vary based on market and employment status.

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