Senior Credentialing Coordinator

Virtelligence•Irving, TX

About The Position

The Senior Credentialing Coordinator serves as a first line of defense in ensuring adequate and qualified staff. Under leadership supervision, the role is responsible for the credentialing department and for developing and maintaining all aspects of the credentialing function. The coordinator ensures compliance with regulatory and accrediting agencies, interprets applicable standards, and identifies, recommends, and implements changes. The position acts as a liaison between administration and staff on credentialing matters, including verification of education, training, certification, and clinical practice credentials. The senior coordinator advises staff and administration on understanding and applying standards, and advises medical staff leadership on credentialing priorities, role responsibilities, and current issues involving regulatory agencies, clinical privileges, and standards of care. The role demonstrates broad business knowledge and leadership, serves as a model and mentor, and assumes at least one strategic, long-term project assigned by administration. Strong organizational skills and assertiveness in problem solving are expected.

Requirements

High school diploma required.
Three years of related experience preferred.
Certified Provider Credentialing Specialist (CPCS) or Certified Medical Staff Coordinator (CMSC) certification preferred.
Strong organizational skills and assertiveness in problem solving.
Broad knowledge of the business and leadership ability to serve as a role model.
Ability to manage a strategic, long-term project and its timelines.

Nice To Haves

Three years of related experience.
Certified Provider Credentialing Specialist (CPCS) certification.
Certified Medical Staff Coordinator (CMSC) certification.

Responsibilities

Manage all aspects of credentialing and oversee credentialing activities.
Ensure compliance with credentialing and accrediting standards and coordinate staff interactions with regulators.
Serve as a liaison between staff and administration on credentialing and related matters.
Advise medical staff leadership on priorities, credentialing responsibilities, regulatory issues, clinical privileges, and standards of care.
Serve as a role model, mentor, and preceptor to staff; cross-train staff in major job responsibilities as appropriate.
Assist staff in enforcing bylaws, rules, regulations, policies, and procedures, and identify and communicate the need for revisions or additions.
Track current staff licensure and, when required, meeting attendance for maintaining staff status.
Track monitoring and proctoring documentation required for granting special or new privileges.
Update credential records in the database and keep the computer system current.
Prepare staff meetings as needed, including agendas and review documents; prepare staff in advance and record meeting minutes when responsible for those tasks.
Support staff and administration in due process proceedings by attending hearings and appeals meetings and recording proceedings when required.
Coordinate staff functions as needed.
Follow CHRISTUS HIPAA guidelines to prevent or detect unauthorized disclosure of protected health information.
Collaborate and communicate with internal and external customers and other departments to complete tasks and goals.
Manage projects and timelines to deliver high-quality work within the allotted period.
Lead at least one major project that contributes to the department’s strategic initiatives.