Medical Staff Credentialing Coordinator

Eisenhower Health • Rancho Mirage, CA

85d • $29 - $44

About The Position

Responsible for credentialing and privileging activities of the medical staff and advanced practice providers (APP). Serves as a primary resource and liaison for the medical staff and advanced practice providers and department chairs, medical staff officers and committee chairs. Responsible for coordination of the Credentials Committee and Interdisciplinary Practice Committee including: agendas, minutes, and follow-up correspondence and activities. Oversees the credentialing processes to assure compliance with all applicable regulatory standards and medical staff requirements. Working knowledge of the Medical Staff Bylaws, The Joint Commission and State and Federal Regulations.

Requirements

• Bachelor's degree required.
• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) required.
• Three (3) years in a hospital medical staff office performing duties representative of this position.

Nice To Haves

• Ability to create, generate, and amend reports from various databases.
• Ability to critically analyze primary source data as received.
• Ability to organize and manage a large volume workload.
• Ability to recommend improvements to software.
• Comprehensive knowledge of medical staff credentialing & privileging platform.
• Comprehensive knowledge of medical staff-related databases and electronic management of credentialing data/information.
• Comprehensive knowledge of physician and advanced practice providers credentialing and privileging.

Responsibilities

• Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
• Coordinates credentialing process for initial appointment and reappointment of physicians and advanced practice providers (APP) and locum tenens.
• Evaluates primary source responses and alert applicable leaders as red flags are identified to ensure any additional follow-up is performed timely.
• Ensures all reappointments are completed according to schedule and do not exceed the two-year reappointment period.
• Ensures competency requirements set by Departments and/or Specialty sections are adhered to by all practitioners.
• Prepares and processes Temporary Privilege requests when applicable.
• Serves as primary liaison to Department Chairs and Section Chiefs.
• Updates practitioner demographic information to ensure integrity of the medical staff credentialing database.
• Prepares Credentials and Interdisciplinary Practice meeting minutes, confidential correspondence, and follow-up.
• Prepares Credentials and Interdisciplinary Practice reports to MEC/BOD.
• Monitors licensures/certificates, malpractice, sends reminder notices, and updates ECHO database with renewals prior to expiration.
• Coordinates New Physician Orientation process.
• Prepares updates to Reappointment Schedules as specialty cycles are completed.
• Prepares BOD approval letters based on Credentials report.
• Participates and contributes to quality improvement activities of the department.
• Researches new technology and new privileges to assist with the development of criteria.
• Leads the ongoing review and updating of criteria for privileging.
• Assesses proctoring status at the time of provisional review.
• Ensures reappointments to provisional status do not exceed two years.
• Generates OPPE reports and ensures they are included in the review of competency.
• Orients new physician leaders & guide them on an ongoing basis.
• Assists program manager with daily operations including meeting management.
• Performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees