Med Staff, Credentialing Coordinator

Responsibilities

• Analyzes and completes the initial and reappointment application approval process by utilizing independent critical thinking skills, which may involve extensive investigative review and interpretation.
• Partners with Medical Staff Leaders to develop policies, evaluation standards and privilege forms based on regulatory changes or hospital service changes and serves as the liaison with Board Members, UH Senior Leaders and Administrators.
• Leads and manages provider performance evaluation process in accordance with Regulatory standards and Medical Staff Bylaws to assess clinical competency at initial approval and annually thereafter to monitor trends.
• Participates in all aspects of meeting management, providing support for Credentials Committee, Medical Executive Committee/Clinical Council, Quality & Professional Affairs Committee, Hospital Board, and all other applicable medical staff meetings.
• Monitors and follows up on the proctoring process for privileges to ensure timely completion and documentation in accordance with credentialing requirements and regulatory standards for quality purposes.
• Manages the Medical Staff elections process, from ballot distribution through certification of results, ensuring adherence to bylaws and communication with Medical Staff leadership.
• Manages the Medical Staff Dues process, including preparing and distributing annual invoices, tracking payments, and maintaining accurate financial records in accordance with Medical Staff Bylaws.
• Collaborates with leadership to update and create new operational procedures as needed to align with industry standard.
• Serves as content expert and participates in onboarding and training of new team members and supports the medical staff with credentialing related projects as aligned with skill set.
• Investigates issues that arise with providers and may involve physicians, UH staff, and/or hospital leadership.
• Manages data quality and integrity for web-based applications based on defined standards through systematic audits.

• Bachelor's Degree (Required) or Three (3) years of direct credentialing experience accepted in lieu of Bachelor's Degree.
• 3+ years of experience working in a similar role, preferably in a healthcare setting (Required).
• 2+ years of experience with database utilization and data management (Required).
• Strong analytical and quantitative skills (Required proficiency).
• Advanced verbal, writing and editorial skills (Required proficiency).
• Attentive listening skills (Required proficiency).
• Confidence interacting with UH Senior Leaders, Physicians, Board Members, and outside agencies (Required proficiency).
• Critical thinking skills, which result in making independent procedural decisions and judgments (Required proficiency).
• Skill in establishing priorities with independent coordination of day-to-day activities (Required proficiency).
• Demonstrated knowledge of medical terminology (Required proficiency).
• Excellent communication and organizational skills (Required proficiency).
• Ability to work in a fast-paced environment (Required proficiency).
• Ability to multi-task (Required proficiency).
• Excellent computer skills, including knowledge of Microsoft applications (primarily Excel), Adobe Acrobat Professional, and credentialing database experience (Required proficiency).
• NAMSS CPCS and/or CPMSM certification (within 5 years).

Demonstrates expertise in credentialing processes, regulatory compliance, and data management within a healthcare setting. Proficient in analytical skills, communication, and organizational abilities to support medical staff operations effectively.

• Microsoft Excel
• Adobe Acrobat Professional
• Credentialing Database