About The Position

The Medical Staff Credentialing Coordinator is responsible for coordinating the credentialing and re-credentialing process for all practitioners applying for medical or allied health staff membership and/or clinical privileges. Provide support for all credentialing functions within the Medical Staff Office.

Requirements

  • Bachelors Degree in a health care related field or equivalent work experience.
  • 2 years minimum of hospital-based credentialing and privileging experience is required.
  • NAMSS Certified Provider Credentialing Specialist (CPCS), Required or must obtain within one year of hire.

Nice To Haves

  • Experience in an academic medical center, multi-entity health system and/or a CVO is strongly preferred.

Responsibilities

  • Coordinates the application and reapplication process for all practitioners who are seeking to be granted membership and or clinical privileges at MSHS, including but not limited to: verifying all relevant information via the primary source; reviewing and analyzing potential issues and concerns; and preparing files for routing to the appropriate medical staff leaders, committees and the governing body.
  • Acts as customer service liaison coordinating communications between the applicant, human resources, and the clinical department as it relates to the credentialing process.
  • Evaluates applicants credentials in accordance to credentialing and privileging policies in order to ensure compliance with medical staff bylaws and accrediting agencies (e.g., The Joint Commission, CMS, NCQA, etc.).
  • Ensures all credentialing deadlines are clearly communicated, credentials are maintained for all providers in a timely manner and ensures full compliance with the medical staff credentialing policies and procedures.
  • Maintains all credentialing related databases in accordance to medical staff policies and procedures.
  • Assists in tracking quality and performance improvement data for credentialed practitioners.
  • Supports all other functions of the medical staff office and performs other duties as assigned by department leadership.

Benefits

  • The salary range for the role is $66,482.07 - $74,369.26 Annually.
  • Actual salaries depend on a variety of factors, including experience, education, and operational need.
  • The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
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