Medical Staff Coordinator - Medical Staff Office

Hartford Healthcare•Hartford, CT

2d•Onsite

About The Position

The Medical Staff Coordinator performs functions of the Medical Staff Office, including credentialing and privileging related to the appointment/reappointment/clinical privileges of practitioners to the Medical Staff in accordance with HHC local Medical Staff Bylaws, Credentialing Policy and standards by The Joint Commission (TJC), Center for Medicare and Medicaid (CMS), and Connecticut Department of Public Health (DPH). This role functions as a liaison for local medical staff leadership and administration, maintaining knowledge of hospital bylaws, rules and regulations, policies and procedures, TJC, CMS, DPH and other state and federal regulatory requirements. The position carries out the Medical Staff initial application process, evaluates and conducts quality review of each new application file, identifies outstanding verifications and red flag concerns, and recognizes, investigates, and validates discrepancies and adverse information. The coordinator prepares files for Credentials Committee Chair/Allied Health Chair review, determines if applicants meet qualifications and criteria for membership and/or clinical privileges, and notifies appropriate parties. They make recommendations on how issues and concerns may be addressed, determine if applicants meet requirements for temporary privileges, and coordinate the approval process. The role also involves reviewing applicants with the Department Chief, ensuring provider applications are processed, initiating the onboarding process, preparing bios for MEC, processing Medical Staff reappointments, and flagging areas of concern. The Medical Staff Coordinator assures regulatory compliance of medical staff standards, participates in policy development, assists with accreditation and licensure surveys, and is responsible for oversight and/or verification of all expirables. They also assist with FPPE and OPPE processes, maintain the medical staff office and physicians' credentials and peer review files, update data in ECHO, and coordinate the Credentials/Allied Health Committee.

Requirements

Associate’s degree and/or equivalent experience
2 years direct experience in hospital medical staff services or other credentialing or hospital administrative position.
National Association Medical Staff Services (NAMSS) Certified Provider Credentialing Specialist (CPCS) required.
Consistently demonstrates Hartford HealthCare’s Values: Integrity, Caring, Excellence, and Safety.
Self-directed and self-motivational skills with a strong attention to detail.
High level professional written and verbal communication skills.
Mature attitude and judgment; responsible; professional demeanor and appearance, patient and flexible.
Ability to manage multiple priorities and manage projects from initiation to completion within prescribed schedules and utilization of resources.
Ability to analyze, interpret and draw inferences from research findings and present recommendations to medical staff leaders for credentialing and privileging issues, policies and bylaws.
Ability to make administrative decisions and judgments using critical thinking skills.
Working knowledge of medical terminology.
The duties of this position include frequent professional level contact with physicians, health system executives, directors, and managers, and attorneys.
Strong customer service skills.
Knowledge of state, federal and Joint Commission medical staff standards and medical staff law
Solid knowledge of Microsoft Office software applications; ability to master current and new software as needed.
Solid knowledge of database management.
Responsible for the accuracy and integrity of the credentialing database.
Flexible schedule required to attend events/meetings in the early morning or in the evening to accommodate physician schedules.
Ability to work well within a team.

Nice To Haves

If not certified, obtain certification within 1 year of meeting the NAMSS eligibility requirements.

Responsibilities

Function as a liaison for local medical staff leadership and administration.
Maintain knowledge of hospital bylaws, rules and regulations, policies and procedures, TJC, CMS, DPH and other state and federal regulatory requirements.
Carry out the Medical Staff initial application process.
Evaluate and conduct quality review of each new application file once delivered from the CVO.
Identify any outstanding verifications and red flag concerns.
Recognize, investigate and validate discrepancies and adverse information obtained from the application, primary source verifications, or other sources.
Prepare files for Credentials Committee Chair/Allied Health Chair review.
Determine if applicants meet the qualifications and criteria for membership and/or clinical privileges.
Notify Director/Manager of MSS, Department Chief, Medical Director, Credentials/Allied Health Committee as appropriate.
Make recommendations of how issues and concerns may be addressed.
Determine if applicants meet the requirements for temporary privileges and coordinate the approval process.
Review applicants with Department Chief including any concerns and obtain Department Chief’s recommendation.
Ensure that provider applications are processed through the Credentials, MEC and Board.
Initiate onboarding process for Medical/Allied Health Staff with communication to applicable entities.
Prepare bios for MEC.
Process Medical Staff reappointments and ensure that providers are reappointed within a two-year period.
Flag areas of concern for Department Chief and prepare for Department Chief’s recommendation.
Assure regulatory compliance of medical staff standards inclusive of TJC, State of CT, CMS, and hospital bylaws.
Participate in the development of and make recommendations to standardize policies and procedures to support medical staff functions.
Assist in preparation of hospital accreditation and licensure surveys.
Responsible for oversight and/or verification of all expirables including: license, DEA, CSR, Malpractice, board certification and other certifications as needed and report concerns to practitioner, Department Chief/Manager, MSS.
Assist with FPPE and OPPE process.
Maintain the medical staff office and physicians' credentials and peer review files in a confidential, organized, current, and retrievable manner.
Update data in ECHO following Credentials/MEC/BOARD to reflect new/temporary privileges and resigned privileges.
Responsible for the accuracy of the data.
Coordinate the Credentials/Allied Health Committee.