Data Maintenance: - Analyze and manage all data maintained in system credentialing database following strict data standards. - Maintain the hospital system's Practitioner Directory by completing update and correction requests. - Manage all pending staff records. - Manage system house staff records in credentialing database. - Manage system referring program. - Monitor and maintain Ohio licenses, Nurse and House Staff DEA Suffixes and other ID numbers. Database Development/ Troubleshooting: - Ass... more details
Essential Functions
Data Maintenance:
• Analyze and manage all data maintained in system credentialing database following strict data standards.
• Maintain the hospital system’s Practitioner Directory by completing update and correction requests.
• Manage all pending staff records.
• Manage system house staff records in credentialing database.
• Manage system referring program.
• Monitor and maintain Ohio licenses, Nurse and House Staff DEA Suffixes and other ID numbers.
Database Development/Troubleshooting:
• Assist in the integration of new hospital acquisitions, including setting up staff records in MSOW, organizing scanned files, training new team members, developing privilege and other forms, etc.
• Assist Manager with creation of electronic work processes in the credentialing database.
• Participate in the development of new technologies, database modules, and upgrade testing.
• Troubleshoot and find solutions for issues with credentialing database, forms, connectivity, departmental shared drive and user errors.
Form and Web Development/Maintenance:
• Assist Credentialing Information System Supervisor with system privilege form development, editing and updates.
• Develop and maintain all interactive applications and forms, and work with report writers to develop peer evaluations and reports to support a paperless environment.
• Develop and maintain department intranet site.
• Develop and maintain departmental policies and procedures, and develop a structure to keep them organized in an electronic library.
Support:
• Assist other system and hospital departments with data updates, projects, interface troubleshooting and reports.
• Audit all initial appointment files of newly credentialed providers and status/privilege changes ensuring all requirements are met and set up the practitioner records in the credentialing database which feed multiple downstream systems.
• Functions as an agent of the protected peer review process.
• Plan and implement the reappointment process and assist and guide the process to completion.
• Support other members of the department (Coordinators, Credentialing Specialists, Provider Enrollment, Management and the Delegated Credentialing team) with training, troubleshooting, data updates, reports, process development and data projects.
• Train new credentialing database users for all levels of access.
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 and
business, computer science, or information systems. Preferred
Work Experience
3 years of work experience with databases Required and
Work experience in performing process, operational and system audits Preferred and
Experience with managing large volumes of mixed data sources Preferred and
Previous experience in medical staff credentialing Preferred and
Experience with MSOW credentialing software, Crystal Reports, SQL Server, Adobe Illustrator, Adobe Photoshop, and Adobe InDesign also Preferred
Knowledge, Skills, & Abilities
In a networked healthcare environment Preferred
Proficiency in Microsoft Excel, Word and Outlook Required
Proficiency in Microsoft Access and Adobe Acrobat Professional Preferred
Excellent verbal and written communication skills. Required
Maintenance of confidentiality essential Required
Demonstrated superior organization skills Required
Ability to multi-task, adjust to change, establish priorities, work collaboratively and independently and under deadline pressure in a high-stress environment essential. Required
Analytical thinker, organized, attention to detail is essential. Required
Additional Licenses and Certifications
CPCS, CPMSM, MSOW-C, Microsoft, Adobe, LEAN Six-Sigma training or other certification Preferred
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