Medical Staff Specialist - Full Time

Kingman Healthcare•Kingman, AZ

13d

About The Position

The Medical Staff Specialist supports credentialing and privileging for KHI Medical Staff and Allied Health Professionals. The role conducts and maintains credentialing and privileging processes and records to help meet accreditation and regulatory requirements. It works with providers and staff to promote provider quality and patient safety, and maintains confidentiality in accordance with KHI policies and HIPAA requirements. The specialist analyzes applications and supporting documents, verifies information through primary sources, evaluates sanctions, complaints, and adverse data, and follows up on discrepancies or missing information. The position manages initial and reappointment schedules, tracks competency training, compiles provider-specific information for review, and supports Medical Staff Services and Graduate Medical Education leadership and events. It also serves as a credentialing resource in Medical Staff Meetings and uses credentialing software and common office and presentation technology.

Requirements

High school diploma or equivalent required.
CPCS certification is required within four years of hire.
Must be able to access and use computer files, audiovisual equipment, and records.
Must be able to sit for extended periods.
May need to walk, travel to physician offices, lift objects such as credentialing files, and attend early-morning or late-evening meetings.

Nice To Haves

CPCS certification is desirable at recruitment.
College degree preferred.
Experience in medical staff functions or comparable activities desirable.
Medical terminology proficiency desired.

Responsibilities

Conduct and maintain credentialing and privileging processes and records for KHI providers, supporting accreditation and regulatory compliance.
Review applications and supporting documents for completeness and discrepancies, communicate status to providers, and request additional information as needed.
Obtain and evaluate provider sanctions, complaints, and adverse data.
Manage initial and reappointment schedules to meet timelines and expiration dates.
Assign and track completion of provider competency training.
Maintain working knowledge of bylaws, accreditation standards, and policies and procedures to ensure compliance.
Serve as a resource to and collaborate with providers and staff to advance provider quality and patient safety.
Conduct primary-source verification of initial and reappointment applications in accordance with accreditation, regulatory, and Medical Staff Bylaw requirements.
Identify matters requiring further investigation, validate discrepancies, and ensure appropriate follow-up.
Compile, evaluate, and present provider-specific information for review by the Medical Staff Services/Graduate Medical Education Director and Medical Staff Committees.
Support the MSS/GME Director and help coordinate Medical Staff Services events, including holidays and provider appreciation.
Facilitate communication between and provide support to the Chief Medical Officer, MSS/GME Director, coworkers, and providers.
Use credentialing software, word-processing and spreadsheet applications, PowerPoint, and audiovisual equipment.
Serve as a credentialing content expert in Medical Staff Meetings.
Maintain strict confidentiality and comply with KHI confidentiality policies and HIPAA guidelines and regulations.