Medical Staff Quality Coordinator

Overview

Performs duties related to the Medical Staff Quality functions, which include but are not limited to coordination of quality files for new and established healthcare providers, maintaining mandatory education information follow-up, data collection, data entry, and document review. Participates in all facets of medical staff meetings, which includes scheduling, distributing notices, recording minutes, as appropriate.Performs other duties, as assigned.

Responsibilities

Essential Duties and Responsibilities

• Maintains high quality, timely and accurate meeting minutes of medical and allied healthcare professionals based upon system policies and procedures.
• Coordinates maintenance of required education with operational leaders and the medical staff.  Completes and ensures compliance and delivery of required information to all customers in a timely manner.
• Processes and maintains meeting materials and minutes accordance with Mercyhealth policies and procedures, Joint Commission standards, State and Federal regulatory guidelines.
• Ensures that Medical Staff meeting schedules are current and meeting requirements outlined in the Bylaws or Rules & Regs. Monitors collection of all information received. Follow-up on missing items/documentation/incomplete forms. Submits follow up requests, as needed.
• Advises supervisor/manager and/or director of questionable information received and any issues identified during processes.
• Makes appropriate and accurate entries into applicable systems to activate the practitioner and ensure practitioner inclusion in rosters, directories, and reports.
• Maintains all files to ensure that all correspondence is accurately filed; is knowledgeable and current in regard to process
• Maintains knowledge and compliance with Mercyhealth policies/procedures, legal/regulatory requirements, federal/state regulations, and accrediting agency standards.
• Meets and maintains productivity standards as outlined by the department.
• Serves as a resource for the Medical Staff on Medical Staff Bylaws issues. Rules & Regulations, and policies.
• Schedules and secures rooms for Medical Staff meetings, sends out notices, drafts agenda, assembles meeting materials, drafts minutes and follow-up correspondence.
• Maintains meeting attendance records
• Other duties as assigned.

Culture of Excellence Behavior Expectations

To perform the job successfully, an individual should demonstrate the following behavior expectations:

Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals.

Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.

Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals.

Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.

Education and Experience

Associates degree and 3 years of healthcare office experience preferred (healthcare facility, managed care setting, CVO, or medical staff office)

Completion of a medical terminology course is required within 1 year. 

Certification and Licensure

None.

Skills and Abilities

• Excellent written and oral communication skills and ability to summarize complex information for meeting minutes.
• Understanding of professional telephone etiquette.
• Able to work with minimal supervision and under pressure. Able to work well in individual and group environment.
• Proactively prioritizes needs. Shows attention to detail.
• Communicates clearly and concisely. Must have excellent interpersonal and written communication skills, including spelling, grammar and basic mathematical calculations.
• Establishes and maintains long-term customer relationships by building trust and respect.
• Articulates knowledge and understanding or organizational policies, procedures, systems.
• Demonstrates proficiency in Microsoft Office (Word, Excel, Access) and other applications, as required.
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• Maintains confidentiality of privileged information.

Special Physical Demands

The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations.

In order to perform the demands of this job, the employee may sit for long periods, exerting up to 10 pounds of force occasionally, walking and standing occasionally. The employee is required to frequently reach with hands and arms, finger, handle, talk and hear. Manual dexterity is required.

Required to work at multiple sites. Valid drivers licenses is required.

Level of Supervision

Some independent judgement is required, but alternatives are limited by standard practices and procedures.

Supervises

None