What are the responsibilities and job description for the Medical Staff Credentialing Coord FT position at South Texas Health System?
Responsibilities:
POSITION SUMMARY:
Within the Medical Staff Services and Peer Review Department and under limited supervision, the Medical Staff Coordinator serves as an essential link and resource between the system director, system manager, senior management and medical staff to coordinate the operational processes and ongoing credentialing, privileging, and medical staff governance functions of the Organized Medical Staff. Responsible for review, analysis and follow up of credentialing and privileging applications, maintaining strict confidentiality, and ensuring compliance with organizational policies and accrediting and regulatory agencies.
Qualifications:
QUALIFICATIONS:
Assists in the management of the medical staff support function for the Medical Staff Organization as outlined in the Medical Staff Bylaws.
Coordinates and processes credentialing and privileging applications; primary source verifications; performs review and analysis, identification and follow up of "red flag" items; prepares files for review and recommendation by the MSS department leadership and medical staff.
Coordinates credentialing end-of-committee process to ensure notification of providers, departments, database and privileging updates; and completion of files as appropriate.
Schedules, coordinates, prepares agenda, takes minutes, provides follow up for medical staff committees outlined in the Medical Staff Bylaws.
Prepares summary reports of credentialing/privileging recommendations and ensures flow of information and action items for medical staff committees outlined in the Medical Staff Bylaws, policies, and procedures.
Assists in coordination, tracking, and monitoring of the FPPE process ensuring compliance with regulatory standards and policies.
Under the direction of System Director and Manager interprets Federal, State, local, and government/insurance agency regulations and guidelines, Medical Staff Bylaws, rules and regulations, policies and procedures; advises providers, management, and administrators on compliance issues as appropriate.
Generates queries and reports from credentialing and privileging database.
Assists with clinical privilege development and maintenance of the privilege database.
Performs miscellaneous job-related duties as assigned.
KNOWLEDGE, SKILLS, and ABILITIES REQUIRED:
Knowledge of medical staff services operational processes.
Knowledge of medical credentialing and privileging procedures and standards.
Knowledge of related accreditation and certification requirements.
Working knowledge of clinical and/or hospital operations and procedures.
Knowledge of clinical privilege criteria development.
Knowledge of medical staff policies, regulations, and bylaws and the legal environment within which they operate.
Knowledge of performance improvement techniques.
Information research skills.
Ability to analyze, interpret, and draw inferences from research findings, and prepare reports.
Ability to communicate effectively, both orally and in writing with all levels of the organization.
Ability to use independent judgment and to manage and impart confidential information.
Knowledge of project management principles, practices, techniques, and tools.
Database management skills including query and report generation.
Ability to make administrative/procedural decisions and judgments.
EDUCATION / LICENSURE:
1. Minimum of three years experience in Medical Staff Services and credentialing and privileging in a hospital setting.
2. Must possess and maintain a valid and current NAMSS CPCS certification or must obtain within one year of employment.
3. .Associates or Bachelor’s Degree preferred.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
POSITION SUMMARY:
Within the Medical Staff Services and Peer Review Department and under limited supervision, the Medical Staff Coordinator serves as an essential link and resource between the system director, system manager, senior management and medical staff to coordinate the operational processes and ongoing credentialing, privileging, and medical staff governance functions of the Organized Medical Staff. Responsible for review, analysis and follow up of credentialing and privileging applications, maintaining strict confidentiality, and ensuring compliance with organizational policies and accrediting and regulatory agencies.
Qualifications:
QUALIFICATIONS:
Assists in the management of the medical staff support function for the Medical Staff Organization as outlined in the Medical Staff Bylaws.
Coordinates and processes credentialing and privileging applications; primary source verifications; performs review and analysis, identification and follow up of "red flag" items; prepares files for review and recommendation by the MSS department leadership and medical staff.
Coordinates credentialing end-of-committee process to ensure notification of providers, departments, database and privileging updates; and completion of files as appropriate.
Schedules, coordinates, prepares agenda, takes minutes, provides follow up for medical staff committees outlined in the Medical Staff Bylaws.
Prepares summary reports of credentialing/privileging recommendations and ensures flow of information and action items for medical staff committees outlined in the Medical Staff Bylaws, policies, and procedures.
Assists in coordination, tracking, and monitoring of the FPPE process ensuring compliance with regulatory standards and policies.
Under the direction of System Director and Manager interprets Federal, State, local, and government/insurance agency regulations and guidelines, Medical Staff Bylaws, rules and regulations, policies and procedures; advises providers, management, and administrators on compliance issues as appropriate.
Generates queries and reports from credentialing and privileging database.
Assists with clinical privilege development and maintenance of the privilege database.
Performs miscellaneous job-related duties as assigned.
KNOWLEDGE, SKILLS, and ABILITIES REQUIRED:
Knowledge of medical staff services operational processes.
Knowledge of medical credentialing and privileging procedures and standards.
Knowledge of related accreditation and certification requirements.
Working knowledge of clinical and/or hospital operations and procedures.
Knowledge of clinical privilege criteria development.
Knowledge of medical staff policies, regulations, and bylaws and the legal environment within which they operate.
Knowledge of performance improvement techniques.
Information research skills.
Ability to analyze, interpret, and draw inferences from research findings, and prepare reports.
Ability to communicate effectively, both orally and in writing with all levels of the organization.
Ability to use independent judgment and to manage and impart confidential information.
Knowledge of project management principles, practices, techniques, and tools.
Database management skills including query and report generation.
Ability to make administrative/procedural decisions and judgments.
EDUCATION / LICENSURE:
1. Minimum of three years experience in Medical Staff Services and credentialing and privileging in a hospital setting.
2. Must possess and maintain a valid and current NAMSS CPCS certification or must obtain within one year of employment.
3. .Associates or Bachelor’s Degree preferred.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
