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, and South Carolina regulations. The role processes applications, completes primary source verification, and coordinates with Medical Staff Leadership and the Credentials Committee to support timely provider appointment and reappointment. It follows established workflows and bylaws while maintaining accuracy, communication, and strong customer service, and partners with Managed Care to ensure compliance with the RSFH Credentialing Plan. The coordinator manages full-cycle credentialing, privileging, and, when applicable, payer enrollment; maintains accurate provider files and database records; and prepares materials for committee and leadership review. The position also supports clinical competency evaluations when requested, meeting coordination and minutes, performance improvement and compliance, department communications, and administrative needs. It requires maintaining privacy and confidentiality and current knowledge of relevant regulations, bylaws, and procedures.

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.
Credentialing expertise and knowledge of healthcare policies, data collection, and data entry.
Ability to maintain confidentiality, manage multiple priorities and deadlines, and work accurately with attention to detail.
Critical thinking, flexibility, teamwork, conflict resolution, active listening, and professional communication skills.
Relationship-building, writing, proofreading, self-motivation, accountability, and ability to work autonomously.
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.
Ability to meet the listed physical requirements, including hearing alarms, telephones, and audio recordings; repetitive arm and hand movements; finger dexterity; color vision; and far and near visual acuity.

Nice To Haves

Bachelor’s degree preferred.
NAMSS certification (CPCS or CPMSM) preferred at hire.
Membership in national, state, or local Medical Staff Services organizations preferred.
Credentialstream credentialing software experience 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.
Conduct initial and reappointment credentialing and privileging activities, determine eligibility, resolve discrepancies, verify expirable items, prepare practitioner-specific data for review, and communicate application status.
Handle payer enrollment for employed and contracted providers when applicable, including electronic applications, database updates, documentation requests, and stakeholder status updates.
Prepare complete files for review by the IPN Leader/Credentialing Reviewer, Credentials Committees, and Medical Staff Leaders; collaborate with auditors to correct deficiencies.
Maintain provider data and files, meet turnaround, accuracy, and regulatory benchmarks, and keep the credentialing database current and accurate.
Follow primary source verification and managed care compliance requirements, complete compliance checkpoints, and maintain awareness of applicable regulatory guidelines through continuing education.
Communicate professionally with colleagues, providers, leadership, and others to collect missing information and resolve issues.
Distribute Board correspondence and notify hospital departments of new medical staff members.
Attend Credentials Committee, CMEC, and other meetings as required.
Provide administrative support to the Manager of Medical Staff Services.
Maintain strict 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 credentialing databases and IT applications; provide reports, mailing lists, labels, and rosters; track privileges, scope of practice, agreements, licensure, insurance coverage, and board certification renewals to prevent lapses.
Process KEPRO acknowledgements, 340 B forms, provider rosters, and other RSFH initiatives when requested.
Coordinate meetings by preparing agendas, materials, electronic packets, and notices; transcribe and revise minutes; track follow-up items; maintain minutes and attendance records; and support meeting chairs and designees.
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, and participate in staff meetings and professional development activities as assigned.
Facilitate communication between Medical Staff Services and other departments, manage calls, relay updates, and notify departments of provider changes or medical staff issues.
Perform other responsibilities as assigned 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.

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