Credentialing Coordinator (REMOTE)

Summary

Responsible for coordinating, monitoring and maintaining the Credentialing and Reappointment processes of Centralized Credentialing Organization. Facilitates and performs all aspects of credentialing, including appointment, reappointment, monitoring and privileging of the MHMH Medical Staff Members and Allied Health Professionals. Ensures compliance with the accrediting and regulatory agencies. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

Education/Experience/Licensure

Knowledge/Skills/Abilities

• Skill and proficiency in performing administrative responsibilities commensurate with requisite Education/Training.
• Significant working knowledge of State regulatory requirements and accreditation standards, including TJC, NCQA, AAAHC, and CMS standards.
• Ability to function with minimal supervision and to relate and communicate effectively with high level Associates within the hospital and in the community with medical staff and their office staffs.
• Ability to be tactful and exercise diplomacy and good judgment.
• Proficient in Microsoft Word, Excel, Access, and Power Point; proficient in mainframe system, databases, and spreadsheets.
• Ability to type 55 words per minute with minimum errors.
• Demonstrates deductive reasoning and ability to use reference materials.
• Ability to handle assignments independently with demonstrated analytical and interpersonal skills.
• Demonstrates ability to maintain excellent customer service skills and customer relations under stressful conditions.
• Experience with following processes and continually improving processes and workflow to gain efficiencies of performance.
• Ability to set priorities coordinates multiple tasks, organize tasks, and maintain control of workflow.

Key Job Responsibilities

• Facilitates and performs all aspects of credentialing for the CCO including appointment and reappointment of Medical Staff and Allied Health Professionals in accordance with the policies and procedures and in accordance with guidelines of all Regulatory bodies including the TJC, NCQA, AAAHC and the appropriate states. Responsible for preparing files for review.
• Administers and maintains comprehensive practitioner database files and other records, files and reports with particular emphasis on integrity and completeness of documentation.
• Executes the Medical Staff and Allied Health privileging process in accordance with the MHMH Medical Staff Bylaws, Rules and Regulations, policies and procedures and in accordance with guidelines of all Regulatory bodies including the TJC and the appropriate states. Responsible for preparing files for review.
• Provides oversight, administrative, and technical support to the Medical Staff credentials committee facilitation in accordance with the Medical Staff Bylaws, policies and procedures.
• Prepares confidential or routine memoranda, letters, reports, meeting minutes and other correspondence for the Department.
• Performs other duties as assigned.

Physical Requirements

• Occasional travel to other facilities, and physician offices.
• Ability to read and write and to communicate both orally and in writing to other individuals.
• Ability to focus for extended periods of time requiring concentration and constant technical attention to details.
• Ability to lift and carry up to 20 lbs., periodically, throughout shift.
• Ability to push and pull, reach, bend and twist.
• Ability to stand, walk, sits in one place, squat and kneel periodically throughout shift.
• Must have good balance and coordination.
• Must have good repetitive hand and wrist motion.