Credentialing Coordinator

Cherokee Indian Hospital Authority•Cherokee, NC

1d•Onsite

About The Position

To assist in coordinating the credentialing process for healthcare providers as required by federal, state, and accreditation standards. Under administrative review, this role is responsible for initiating and coordinating the clerical and secretarial functions necessary for the effective implementation of administrative policies and the administration of Medical/Dental Staff services. The position is also responsible for assisting with creating and maintaining credentialing records, both physical and electronic, and ensuring Joint Commission compliance.

Requirements

Associate Degree in Business or a Health related field, or equivalent combination of education, related experience, and training.
Minimum of three years' experience in a professional office setting.
Ability to work towards obtaining Certified Provider Credentialing Specialist (CPCS) certification.
Thorough understanding of Joint Commission standards related to Medical Staff accreditation and the review process.
Ability to carry out complex standards independently with constant attention to detail.
Ability to work with all staff and contract physicians to ensure standards are met.
Knowledge of the policies, procedures, and operational guidelines of the CIHA.
Knowledge of general office procedures.
Knowledge of CIHA personnel policies.
Demonstrated dependability, maturity, and judgment in performance of duties.
Knowledge of modern secretarial and general office principles, practices, techniques, and Federal and State reporting requirements.
Ability to use word-processing software on desk-top professional computers (e.g. Microsoft Word, Excel, Outlook, and Access).
Ability to operate printers, copier, and fax machines as well as other office equipment.
Working knowledge and experience of timekeeping processes and procedures.
Ability to understand and execute complex oral or written instructions and apply extensive and obscure guidelines to a wide variety of work situations.
Ability to establish and maintain effective working relationships with other employees, public and private officials, contractors, and the general public.
Ability to accurately deal with difficult dictation.
Ability to write correspondence, compile data, analyze data and make concise, accurate reports and recommendations.
Ability to organize work, deal effectively with the public, communicate effectively both verbally and in writing, follow instructions and work as a member of a group or independently.
Knowledge of Cherokee culture and tribal operations.
Ability to take directions and carry out orders effectively with minimal or no supervision.
Ability to adapt in stressful situations when dealing with disgruntled patients.
High degree of tact, courtesy, and business etiquette required for contact with Executive Directors, program directors, personnel, general public, Governing Board, superiors, employees, contractors, facility and maintenance vendors, Federal, State, Tribal agents, CIHA and IHS.
Adherence to all CIHA confidentiality policies and procedures, as well as the Privacy Act of 1974 and HIPAA.
Close concentration and attention to detail required.
Ability to perform duties requiring standing, walking, sitting, kneeling, crouching, reaching, seeing, speaking, and hearing.
Data entry requires a high degree of accuracy.
Ability to proofread work to detect errors.

Nice To Haves

May be necessary to work when Administrative Leave is granted if patient care would be compromised.
May assist executive staff as necessary.
May be responsible for maintaining and updating spreadsheets for the medical/nursing departments.
Performs typing and transcription duties as required.
May occasionally move more than 10 pounds.
Works in normal business office environment with occasional visits to program sites.
May involve contacts with patients in both well and illness status.
Judgment and initiative are required to maintain accuracy, efficiency, and to prioritize work and meet deadlines.

Responsibilities

Initiating and coordinating clerical and secretarial functions for Medical/Dental Staff services.
Creating and maintaining credentialing records (physical files and electronic).
Ensuring Joint Commission compliance for credentialing.
Performing licensure verification for professionally licensed staff who perform patient care.
Performing licensure checks prior to expiration for applicable professionally licensed staff.
Compiling and archiving documents for the formal credentialing process, including initial applications and reappointment applications.
Maintaining the credentialing computer system through data entry and performing backups.
Assisting with communication with professionally licensed staff regarding scheduling, performance evaluations, contracted services, and disaster call-back procedures.
Maintaining agendas, minutes, and attendance for meetings; providing secretarial support, research data, and physician reminders.
Coordinating resident and student rotation requirements, including the application, contracting, evaluation, and management of support functions.
Serving as a backup timekeeper for Medical Staff.
Assisting with the development and coordination of in-house trainings.
Assisting with the development of sign-in systems, documentation for continuing medical education credits, and other required documentation for trainings.
Performing related duties as assigned.
Arranging, participating in, and implementing conferences and committee meetings as directed.
Serving as recording secretary to Medical Staff meetings.