Credentials Coordinator Specialty: Medical Staffing
Job Type: Travel Minimum Guaranteed Hours: 40
Demonstrated experience in Medical Staff functions in acute care setting (hospital). Credentialing and privileging of initial applicants and reappointments.
Facility Specific License/Certifications: Hospital Fire and Life Safety (HLFS): Required
Essential Functions:
• Assumes responsibility for all assigned credentialing functions for medical and allied health staff, which may include: appointment, reappointment, privileging, ongoing professional practice evaluation, focused professional practice evaluations/proctoring, and provisional review to ensure compliance with medical staff bylaws, rules and regulations, state and federal requirements and accreditation standards.
• Interfaces with various departments and physicians to provide and interpret relevant data enabling identification of any practitioners who may not meet the standards of care for the community.
• Assumes responsibility for meeting management (agenda preparation, minutes, meeting follow-up, etc.) for assigned medical staff departments and committee functions.
• Maintains current knowledge of medical staff bylaws, rules and regulations and hospital policies related to medical staff and regulatory agency requirements.
• Maintains medical staff database and official rosters and call schedules.
• Maintains medical staff documents, policies and procedures in such a way as to comply with regulatory requirements.
• Manages medical staff dues & fees.
• Maintains strict confidentiality in all matters pertaining to the medical staff.
• Performs other job-related duties as assigned
Jobs Notes:
Day Shift: remote, 5 x 8s Must be a Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM)
Credentialing & Recredentialing:
• Evaluate, verify, and process applications for initial appointment and reappointment of medical staff and allied health professionals.
• Ensure compliance with hospital bylaws, policies, and regulatory standards.
Data Management:
• Maintain accurate and up-to-date credentialing files and databases.
• Assign provider privileges and update systems accordingly.
Committee Support:
• Prepare credentialing packets for review by department chairs and credentialing committees.
• Assist in organizing and documenting Credentialing and Medical Executive Committee meetings.
Compliance & Audits:
• Participate in audits and performance improvement initiatives.
• Ensure readiness for accreditation and regulatory surveys.
Communication:
• Serve as a liaison between the medical staff, administration, and external agencies regarding credentialing matters.