Medical Staff Coordinator

South Shore Health•Weymouth, MA

1d•Onsite

About The Position

This position provides highly-skilled coordination and maintenance of, in accordance with State, Federal, and TJC accreditation, provider credentialing and privileging. Coordinates administrative and clerical tasks; medico-legal issues; maintains critical and confidential credentialing, privileging, and peer review information; executive correspondence; ongoing-professional performance evaluations (OPPE); and focused professional performance evaluations (FPPE). Requires a high degree of confidentiality and critical decision-making, with moderate direction and guidance. This role involves complex relationships with various hospital staff, leadership, legal counsel, external professionals, state licensing bodies, and patients, all requiring courtesy, tact, patience, cooperation, and confidentiality.

Requirements

High degree of confidentiality and critical decision-making.
Moderate direction and guidance required.
Complex relationships with various stakeholders requiring courtesy, tact, patience, cooperation, and confidentiality.
Knowledge of JCAHO, federal and state regulations.
Medical terminology knowledge.
Three (3) years of experience in healthcare, paralegal, managed care, or credentialing.
Knowledge of medical terminology and professional executive interface.
Strong professional verbal and written communication skills.
Astute judgment in human relations skills to interface and communicate effectively.
Proficiency in MS Office and credentialing software.
Ability to work with common office software and personnel.

Nice To Haves

CPCS preferred.
Two years college education is preferred.
National Certification as a Medical Staff Services Professional is preferred.
Associate's degree in business or equivalent preferred.

Responsibilities

Initiates credentialing processes and procedures in accordance with established timeframes and TJC requirements.
Coordinates and maintains all aspects of physician and advanced practice practitioners credentialing processes, ensuring quality of care and compliance with TJC, CMS, and State requirements.
Performs primary source verifications for credentialing and privileging in accordance with TJC, State, Federal regulations, and organizational policies.
Maintains an accurate, secure, and updated database of provider information for demographic profiles, privileges, and status.
Gathers and analyzes provider data for reappointment, peer review, and quality improvement processes.
Obtains necessary privileging documentation and clinical activity for competency requirements.
Processes focused professional performance evaluations (FPPE) and ongoing professional performance evaluations (OPPE) for providers.
Prepares credentialing and privileging documentation for review by committees and leadership.
Plays a key role in patient safety initiatives, including practitioner education and identification of care variations.
Processes Medical Staff Resignations, change of status requests, and additional privilege requests.
Ensures completeness and accuracy of provider enrollments in the National Practitioner Databank (NPDB).
Serves as a resource for Medical Staff, APC staff, and organization teams regarding Medical Staff Bylaws, policies, and regulatory requirements.
Maintains an up-to-date record of expirables (e.g., MA Licensure, DEA, Malpractice) to ensure no gaps in coverage.
Liaises between Medical Staff and administration, communicating sensitive and confidential issues.
Verifies affiliation with South Shore Hospital to outside sources.
Supports the development of departmental goals, objectives, guidelines, policies, and standard operating procedures.
Provides executive-level administrative office support, including scheduling meetings and drafting correspondence.
Maintains ongoing education and compliance with current best practices, regulations, and standards.
Develops, maintains, and updates the Medical Staff Website.
Contributes to the automation of credentialing and privileging processes.
Fosters a "Culture of Safety" through personal commitment to a safe environment.
Assists in the preparation for Credentials Committee and other meetings.
Performs general office tasks including filing, faxing, copying, and answering the main medical staff services phone.
Participates in the orientation of all new medical staff.