Credentialing Specialist Jobs

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Credentialing Specialist - Main Medical Staff Office - Full Time - Days

The Christ Hospital Health Network•OH, OH
•Onsite
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About The Position

Responsible for coordination and preparation of medical staff functions; prepares for committee meetings, taking minutes, processes and distributes appropriate correspondence and assists with the development, planning and implementation of the credentialing and privileging process in addition to the analysis of each file upon completion. Assists in the compliance with the accrediting and regulatory agencies (i.e., Joint Commission and NCQA) in regards to credentialing and privileges while developing and maintaining a working knowledge of the statues and laws. Ensures that all expirables are reviewed, obtained and managed on a monthly basis according to the rules and policies. Maintains the confidentiality of all business/work and medical staff information. Assists in the managing the flow of information between medical staff services, Credentials Committee and MEC Committee, medical staff leadership and Chief Medical Officer. Manages the FPPE process and the integration of OPPE during reappointment.

Requirements

  • Working knowledge of statutes and laws related to credentialing and privileges
  • Understanding of Joint Commission and NCQA standards
  • Ability to maintain confidentiality

Responsibilities

  • Coordination and preparation of medical staff functions
  • Preparation for committee meetings, taking minutes
  • Processing and distribution of appropriate correspondence
  • Assisting with the development, planning, and implementation of the credentialing and privileging process
  • Analysis of each file upon completion
  • Assisting in compliance with accrediting and regulatory agencies (Joint Commission, NCQA) regarding credentialing and privileges
  • Developing and maintaining a working knowledge of relevant statutes and laws
  • Ensuring all expirables are reviewed, obtained, and managed monthly according to rules and policies
  • Maintaining confidentiality of business/work and medical staff information
  • Assisting in managing the flow of information between medical staff services, Credentials Committee, MEC Committee, medical staff leadership, and Chief Medical Officer
  • Managing the FPPE process and the integration of OPPE during reappointment

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

No Education Listed

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