Credentialing Coordinator - Medical Staff Services

Tampa General Hospital•Tampa, FL

About The Position

Under the direction of Credentials Verification Organization (CVO) leadership, the Credentialing Coordinator manages credentialing and privileging activities for the organized medical staff. The role ensures compliance with internal bylaws and policies, accreditation standards such as The Joint Commission, CMS Conditions of Participation, and state laws. Responsibilities include managing applications, verifying credentials, maintaining files and tracking expirable credentials, and supporting evaluation and decision-making processes with accurate documentation. The coordinator serves as a liaison between physicians and leadership, guiding medical staff through credentialing processes. The position requires adherence to Tampa General Hospital's mission, vision, and values.

Requirements

Associate’s degree in Healthcare Administration or a related field.
Associate’s degree with three years of credentialing experience, or bachelor’s degree with two years of credentialing experience.
Comprehensive understanding of medical staff bylaws, rules, and regulations, and external agency requirements, including The Joint Commission, CMS, and state laws.
Ability to manage complex credentialing files, verify credentials, and maintain accurate records to ensure compliance and timely processing.
Ability to identify credentialing process issues, analyze information, and recommend solutions to maintain quality and compliance.
Strong verbal and written communication skills for diplomatic interaction with physicians, leadership, and external agencies.
Ability to prioritize tasks, manage multiple deadlines, and work efficiently in a high-stress environment with frequent interruptions.
Skill in using credentialing software systems, electronic file management, and standard office applications.

Responsibilities

Manage initial and reappointment credentialing applications, ensuring completeness and compliance with internal and external standards.
Verify education, training, licensure, certifications, and work history through primary source verification.
Maintain accurate, up-to-date electronic and/or hard-copy credentialing files and track expirable licenses and certifications.
Support privilege-granting evaluation and decision-making by providing accurate documentation and analysis.
Process credentialing activities in a timely manner to facilitate onboarding and reappointments.
Communicate credentialing requirements and status updates to medical staff, department chiefs, and leadership.
Monitor compliance with accreditation standards, CMS Conditions of Participation, and state regulations related to credentialing and privileging.
Identify and escalate potential quality-of-care or behavioral issues discovered during credentialing reviews.
Represent administrative issues and foster collaboration between physicians and hospital leadership.
Participate in continuing education, mandatory training, and professional development to maintain current knowledge of credentialing standards and best practices.