Medical Staff Coordinator - Credentialing and Privileging

Medical Staff Coordinator - Credentialing and Privileging 2858742

A leading medical institution is seeking a Medical Staff Coordinator - Credentialing and Privileging. The successful candidate will be involved in the development, implementation, and monitoring of effective and efficient systems to facilitate all aspects of medical staff services and credentialing. The ideal candidate has three or more years of experience in credentialing, compliance, audit, quality, process improvement, or healthcare administration.

Medical Staff Coordinator - Credentialing and Privileging Pay and Benefits:

• Hourly pay: $40-$50/hr
• Worksite: Leading medical institution (San Francisco, CA 94117 - Onsite, Must support two Medical Centers)
• W2 Employment, Group Medical, Dental, Vision, Life, Retirement Savings Program, PSL
• 40 hours/week, 6 Month Assignment

Medical Staff Coordinator - Credentialing and Privileging Responsibilities:

• Cultivate and produce efficient and compliant credentialing and privileging processes, such as:
  • Pre-application intake - Initiates credentialing process via the UC ME pre-application. Screens pre-applications for completeness and analyzes information to ensure the applicant’s record is set up correctly in our system.
  • Reviews, prepares and routes credentialing file for departmental approval. Identifies any credentialing issues discrepancies/ items that require extra analysis or information for departmental approval. Organizes and prepares information for committee review and approval.
  • Reappointment/revalidation and related competency assessments (FPPE/OPPE).
• Act as a key resource for the credentialing committee and other medical staff committees.
• Collaborate with department chairs, and hospital leadership regarding scope of practice and new privileges within clinical services/programs.
• Serve as the liaison between the medical staff, leadership, and all hospital departments to coordinate all credentialing requests.

Medical Staff Coordinator - Credentialing and Privileging Qualifications:

• 3+ years of experience in credentialing, compliance, audit, quality, process improvement, or healthcare administration.
• Bachelor’s degree in a related field or equivalent experience/training.
• Experience with committee/department meeting management.
• Experience working in a hospital environment is preferred.
• Community hospital medical staff office experience is preferred.
• ED call schedule experience.
• Ability to perform all commonly applicable functions in Microsoft Office Suite (Word, Excel, PowerPoint) and medical credentialing database applications.
• Strong analytical, multitasking, and problem-solving skills with the ability to work under deadlines.
• Ability to collaborate across departments and effectively communicate with stakeholders.
• Must obtain a Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) within 18 months of hire.
• Expert knowledge of TJC, NCQA, CMS, DHS, DMHC, ACCME and other applicable accreditation/regulatory requirements
• Proficiency in Cactus and ECHO credentialing systems.
• Understanding of The Joint Commission regulatory guidelines and adhering to bylaws.
• Experience in privileging and revising privileging forms to align with the health system is preferred.
• Ability to apply external regulatory guidelines and internal accounting and administrative policies knowledge and skills to assess and monitor compliance and effectiveness of processes.
• Solid skills to evaluate issues and identify solutions. Demonstrated ability to solve problems and suggest solutions through critical thinking processes.
• Ability to independently set and meet deadlines while multi-tasking and assigning precedence to competing priorities.
• Ability to see multiple assignments through to completion on deadline.
• Skills to work collaboratively coordinate and integrate with others throughout the department, hospital and campus.
• Ability to communicate through all mediums and with all groups and work under pressure of constantly changing deadlines and priorities.
• Thorough knowledge of data management and documentation methods used in medical credentialing. Req
• Advanced competency in a paperless computer environment and understanding of provider data integrity standards (credentialing software, MS Office suite, Adobe Professional, document scanning/storage, web-based applications, and tools, etc.).
• HIPAA/Peer review protections as well as attorney-client privilege, as warranted.