NAMSS



Position:Credentialing CoordinatorDepartmentMedical Staff OfficeReports to:Department Manager/ Director, Medical Staff ServicesDirector, Medical Staff OperationsPosition Summary:Coordinates Medical staff credentialing activities; responsible for providing varied clerical support for the Medical Staff Office, including data entry and physician database maintenance (ECHO); credentialing processes and other duties that support various Medical Staff Office activities. Serves as effective liaison between the Medical Staff and Medical Center Administration; provides insight into Medical Staff organization, bylaws, rules and regulations, State and Federal Regulatory Agencies, accreditation compliance and other critical matters that affect the healthcare environment.Responsibilities:Initiates, oversees, administers, verifies, compiles, manages and maintains confidential research required for credentialing of initial applicants (Physicians, Dentists, Podiatrists, etc., and Allied Health Professional staff.Process according to established legal, State and Federal agency, State licensing board, and TJC standards.Prepares and reports all research and forwards to departmental chairpersons, Medical Staff committees, and to the board for review and action.Coordinates tracks and monitors flow of information to ensue the timely processing and notification of applicants in accordance to guidelines outlines in the Medial Staff Bylaws.Implements, coordinates, monitors, and maintains effective credentialing processes intended to appropriately credential physicians and non-physicians for reappointment and/or clinical privileges. Monitors the process by auditing credentials files, medical staff committee and department meetings to ensure timely and appropriate appointment and privileging activities.Process according to established guidelines set by the Medical Staff bylaws on an ongoing basisResponsible for the maintenance of systems to ensure a method for Medical Staff review and privilege change requests.Coordinates data collection process for Medical Staff reappointment, recredentialing and pre-delineation of privileges. Tracks and monitors process and completes necessary follow-up to ensure timely processing.Follows legal, State and Federal agency, State licensing board, and TJC standards.Consults with departmental chairmen after data is compiled and then prepares for Medical Staff committee reviewPrepares and distributes materials for reappointmentKeeps current with all accreditation standards and legal requirements related to medical staff affairs ensuring that operations conform to current and appropriate regulations.Coordinates Medical Staff department/committee meeting activities in collaboration with the manager of Medical Staff Services to include meeting preparation and management, development of pre-meeting agendas and after meeting follow-up activities in direct relations to all department/committee meetings assigned.Responds to reference requests from other facilities (i.e., hospitals, HMO’s, insurance companies) concerning practitioners currently or previously on staff.Initiate and carry out bi-weekly correspondence related to LEAP ON-Line training requirementsInform department chairs of outstanding courses for their department staffContact physicians regarding outstanding coursesAct as liaison with Human Resources regarding course assignmentsStaff tracking: Provide quarterly updates to departments regarding staff membersContact departments regularly regarding staff rosters; i.e., new physicians, terminations demographic information, etc to ensure accuracy of information the MSO databasePoint person for external/internal query requests, e-mails to medical staff, Advance Practice Nurses and Physician Assistants, (Includes maintenance of e-mail addresses for above groups)File, scan correspondence from medical staff files as needed.Data entry of faculty filesAdministrative Support:Maintain office supplies for Medical Staff OfficeProvide phone coverage; Assist with all ad hoc Medical Staff and House staff mailings. Assist with preparations for Annual & Semi Annual/Faculty meetings/Dinner. Responsible for mailbox and locker assignment and upkeep.Log meeting attendance for various committees, semi-annual, annual meetings and other ad-hoc duties as assigned.Position Qualifications:Associate’s degree from two-year college or 2-5 years credentialing experience in medical staff services Certified by the National Association Medical Staff Services (NAMSS) or become certified within 24 months of hire.Highly attentive to detail and accuracy and possess strong organization skills. Candidate should possess excellent oral and written communications skills. Must display professional demeanor and ability to relate positively with other department and hospital staff. Must work well as a member of a team and maintain confidentiality at all times. Proficiency in Microsoft Word, Excel applications and database systemsDisclaimer:The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. ................
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