Medical Staff Coordinator (Hospital Credentialing)

JOB SUMMARY:
Completes timely and accurate credentialing and privileging of providers with minimal guidance. Ensures that credentialing records comply with requirements of regulatory and accrediting agencies including Centers for Medicare/Medicaid Services, the Joint Commission, and the National Committee for Quality Assurance, federal and state laws and delegated credentialing agreements.


KEY RESPONSIBILITIES:

• Ensures that all individuals credentialed and/or granted clinical privileges are qualified to provide services based upon the scope of their training, licensure and experience.
• Processes privileging and status change requests through the appropriate services and committees.
• Performs primary source verification for applicants and competency verification for privileging.
• Collaborate with personnel in other departments and organizations.
• Ensures appropriate documentation is maintained and that information is easily retrievable.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES:

DISCRETION & PRIVACY (ADVANCED): - The ability to use and keep information confidential in a secure setting.

DATA ENTRY (ADVANCED): - The ability to transcribe information from the original source into an electronic system according to written and verbal instructions efficiently and accurately.

ANALYTICAL SKILLS (EXPERT): - The process of identifying, evaluating, interpreting and organizing data. It includes sorting through data to identify patterns and establish relationships for decision making.

CVO POLICIES AND PROCEDURES (INTERMEDIATE): - Knowledge, adherence and application of CVO policies and procedures.

CORE ACCOUNTABILITIES:

• Organizational Impact: Performs non-routine tasks that significantly impact team's performance with minimal guidance.
• Problem Solving/ Complexity of work: Conducts research and analysis to solve some non-routine problems.
• Breadth of Knowledge: Applies broad job knowledge and has basic job skills in other areas.
• Team Interaction: Provides informal guidance and support to less experienced team members.