Medical Staff Coordinator - Medical Staff Office

Hartford HealthCare•Hartford, CT

4d•Onsite

About The Position

This position performs the functions of the medical staff office, including credentialing and privileging for practitioners. It involves ensuring compliance with hospital bylaws, The Joint Commission, CMS, and other regulatory standards. The role acts as a liaison between medical staff leadership, administration, and external regulatory bodies.

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

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, evaluating and conducting quality review of new application files.
Identify any outstanding verifications and red flag concerns, and recognize, investigate, and validate discrepancies and adverse information.
Prepare files for Credentials Committee Chair/Allied Health Chair review and determine if applicants meet qualifications and criteria for membership and/or clinical privileges.
Notify Director/Manager of MSS, Department Chief, Medical Director, Credentials/Allied Health Committee as appropriate and make recommendations for addressing issues.
Determine if applicants meet requirements for temporary privileges and coordinate the approval process.
Review applicants with Department Chief, including any concerns, and obtain Department Chief’s recommendation.
Ensure 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 providers are reappointed within a two-year period.
Recognize, investigate, and validate discrepancies and adverse information for reappointments.
Determine if providers meet qualifications and criteria for reappointment and clinical privileges.
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.
Oversee and/or verify all expirables including license, DEA, CSR, Malpractice, board certification and other certifications as needed and report concerns.
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, ensuring accuracy.
Coordinate the Credentials/Allied Health Committee.