The Medical Staff Services and Credentialing Coordinator is responsible for oversight of the credentialing process and analyzing and evaluating primary source verification data and documents for initial appointments and reappointments to the Medical Staff and Allied Health Staff. This position provides support for facility and/or specialty assignments throughout the health system. Under the supervision of the Supervisor and Manager of Medical Staff Services and Credentialing and in addition to t... more details
Position Summary
The Medical Staff Services and Credentialing Coordinator is responsible for oversight of the credentialing process and analyzing and evaluating primary source verification data and documents for initial appointments and reappointments to the Medical Staff and Allied Health Staff. This position provides support for facility and/or specialty assignments throughout the health system. Under the supervision of the Supervisor and Manager of Medical Staff Services and Credentialing and in addition to the duties outlined below, this position functions as an agent of the protected peer review process. This position is responsible to maintain and develop community, UHMP/UHMG/UHRP provider and hospital leadership relationships.
Essential Functions
Analyzes and processes initial and reappointment applications by utilizing independent critical thinking skills, which may involve extensive investigative review and interpretation
Collaborates with clinical leaders to review and recommend applicants, highlighting critical details and potential red flags
Maintains current knowledge of and adheres to hospital and outside accreditation and regulatory standards (Joint Commission, Centers for Medicare and Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), etc.), as a function of the hospital’s risk management program for hospital and delegated credentialing and hospital privileges
Participates in all aspects of meeting management, to provide support for Credentials Committee, Medical Executive Committee/Clinical Council, Quality & Professional Affairs Committee, Hospital Board, and all other applicable medical staff meetings
Partners with Medical Staff Leaders to develop policies, evaluation standards and privilege forms based on regulatory changes or hospital service changes
Acts as a liaison with Board Members, UH Senior Leaders and outside agencies (e.g. the Ohio State Medical Board, the National Practitioner Databank, Board Certification agencies, the Drug Enforcement Agency, and malpractice insurance carriers)
Leads and manages provider performance evaluation process in accordance with Joint Commission Standards and Medical Staff Bylaws
Investigates issues that arise with providers and may involve physicians, UH staff, and/or hospital leadership
Assists with updating and creating new operational procedures as needed in conjunction with the Supervisor and Manager
Serves as content expert and participates in onboarding and training of new team members
Supports the medical staff with credentialing related projects as assigned
Utilizes current trends and practices in all aspects of credentialing and privileging
Manages data quality and integrity for web-based applications based on defined standards through systematic audits.
Required For All Jobs
Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
Qualifications Education
Bachelor's Degree Required or
Three (3) years of direct credentialing experience accepted in lieu of bachelor's degree.
Master's Degree Preferred
Work Experience
3 years of experience working in a similar role, preferably in a healthcare setting Required and
2 years of experience with database utilization and data management Required
Knowledge, Skills, & Abilities
Strong analytical and quantitative skills Required
Advanced verbal, writing and editorial skills Required
Attentive listening skills Required
Confidence interacting with UH Senior Leaders, Physicians, Board Members, and outside agencies Required
Critical thinking skills, which result in making independent procedural decisions and judgments Required
Skill in establishing priorities with independent coordination of day-to-day activities Required
Demonstrated knowledge of medical terminology Required
Excellent communication and organizational skills Required
Ability to work in a fast-paced environment Required
Ability to multi-task Required
Excellent computer skills, including knowledge of Microsoft applications (primarily Excel) knowledge of Adobe Acrobat Professional and credentialing database experience Required
Job Abstracts is an independent Job Search Engine. Job Abstracts is not an agent or representative and is not endorsed, sponsored or affiliated with any employer. Job Abstracts uses proprietary technology to keep the availability and accuracy of its job listings and their details. All trademarks, service marks, logos, domain names, and job descriptions are the property of their respective holder. Job Abstracts does not have its members apply for a job on the jobabstracts.com website. Additionally, Job Abstracts may provide a list of third-party job listings that may not be affiliated with any employer. Please make sure you understand and agree to the website's Terms & Conditions and Privacy Policies you are applying on as they may differ from ours and are not in our control.
Welcome to Job Abstracts
We would like to take a second to Welcome You to Job Abstracts, the nation’s largest Pure Job Board. With over 3.1 million job listings from 15,000+ Companies & Organizations, we help job searchers find careers that match their interests. As an anonymous user, you have probably discovered how easy our system is to use. However, you have just scratched the surface of what we can offer.
We encourage you to Register so you can use our most powerful features: searching with multiple terms, setting up multiple locations, establishing favorite companies, and accessing your search history. If you find a job you like, you can apply directly for it, and then, keep notes on it. We will also keep a lookout for jobs that match your search terms and email you when we find something you may like.
You can register for free and the system is free to use. If you like our system so far, click on Register and unlock the power required by serious job searchers.
Any time you conduct a search, the system shows you job matches, ranked by their Relevance Score (RS).
The score is calculated by a proprietary algorithm that uses Intelligent Machine Learning.
The Relevance Score tells you how well the job opportunity matches your search term or terms.
When not logged in, the system is limited to one search term. Scores for single term matches are usually lower.
When you register, log in, and set up multiple terms prioritized by importance, the jobs found for you will receive a much higher Relevance Score.