Credentialing Coordinator

RWJBarnabas Health; New Brunswick (NJ); On-site; USD 56,000 - 70,000; Full time

Benefits offered by this job

PTO

Medical insurance

Dental and Vision Insurance

Retirement plans

Disability insurance

Life insurance

Tuition reimbursement

Health Care/Dependent Care FSAs

Wellness programs

Voluntary benefits

Partner discounts

Job summary

RWJBarnabas Health is seeking a full-time Medical Staff Credentialing Coordinator at RWJ New Brunswick. The role supports credentialing, privileging, and governance within Medical Staff Services for 2,000+ clinical members.

The coordinator ensures compliance with bylaws and regulatory standards, supporting MEC and Credentials Committee while maintaining data integrity and timely processing of expirables and privilege actions.

Qualifications

• Associates degree required or equivalent
• At least two years in CVO/Medical Staff Services in acute care
• Experience with credentialing software (MD-Staff, Echo, Cactus, Credential Stream)
• Familiarity with OPPE/FPPE processes and physician data management

Responsibilities

• Ensure compliance with Medical Staff Bylaws, Rules and Regulations and accreditation standards
• Support MEC, Credentials Committee and department chairs
• Coordinate initial appointment/reappointment and privileging activities
• Ensure expirables are processed on time
• Handle confidential issues with leadership and notify stakeholders of actions taken
• Provide information for OPPE reports and maintain physician profile data
• Maintain privilege forms and status changes in credentialing software
• Provide administrative support to credentialing functions as required

Skills

Associates degree

2+ years medical staff services

Credentialing software experience

OPPE/FPPE familiarity

Education

Associate's degree

CPCS certification

Tools

MD-Staff

Echo

Cactus

Credential Stream

Job description

Medical Affairs Credentialing Coordinator

Req #: 0000259045

Category: Professional / Management

Status: Full-Time

Shift: Day

Facility: RWJ New Brunswick

Department: Medical Affairs

Pay Range: $55,700.00 - $69,700.00 per year

Location: One Robert Wood Johnson Place, New Brunswick, NJ 08901

Job Overview

The Medical Staff Office at RWJUH-New Brunswick is seeking a full‑time Medical Staff Coordinator to join the team serving the 2,000 + clinical members of the medical staff.

The Medical Staff Coordinator is responsible for the coordination and administration of all aspects of credentialing, privileging, and governance support within the Medical Staff Services Department.

Qualifications

Required:

• Associates degree required or a combination of equivalent education, training and experience may be considered
• At least two (2) years of experience CVO or Medical Staff Services in an acute healthcare setting, including credentialing and privileging
• Experience with credentialing software (e.g. MD-Staff, Echo, Cactus, or Credential Stream)
• Familiarity with OPPE/FPPE processes, privileging criteria, and physician performance data management

Licenses and Certifications Required

• Certified Provider Credentialing Specialist (CPCS) required or within three years of employment

Essential Functions

• This role ensures compliance with Medical Staff Bylaws, Rules and Regulations, and accreditation and regulatory standards (The Joint Commission, CMS, NCQA, and state licensing bodies)
• The coordinator supports the effective functioning of the Medical Executive Committee (MEC), Credentials Committee, Department Chairs, and other Medical Staff leadership, while maintaining a collaborative relationship with hospital administration, clinical departments, and affiliated medical schools
• Closely monitors information collection; cognitive analysis of all information received, evaluates adequacy and quality and pursues additional information if necessary, for effective and comprehensive peer review decision‑making. This also includes gathering information from the American Medical Association and National Practitioner Data Bank.
• Coordinates and provides administrative support to the Medical/Dental/Allied Health Professionals initial appointment/reappointment and privileging activities in accordance with the Medical Staff Bylaws and Rules & Regulations so as to assure the maintenance of qualified practitioners who provide patient care in the hospital. Notifies applicants and Hospital personnel of action(s) taken per established Departmental policies/procedures and ensures up‑to‑date computer file integrity.
• Ensures that all expirables (license, certification, insurance, etc.) are processed on time and efficiently
• In conjunction with the Director, handles and/or is kept up to date on all confidential or sensitive issues concerning Medical Staff members and activities. Employee is directly accountable to the President of the Medical Staff and the Vice President of Medical Affairs/Chief Medical Officer in the absence of the Director.
• Provide the Performance Improvement Coordinators with pertinent information to ensure the Ongoing Professional Practice Evaluation (OPPE) reports for Medical Staff are disseminated accurately and reviewed in a timely fashion
• Responsible for ensuring appropriate Service Rules & Regulations maintain accordance with regulatory requirements and are reviewed/revised accordingly.
• Responsible for ensuring that appropriate Service/Division Delineation of Privilege forms are reviewed/revised in accordance with Departmental policy/procedure.
• Responsible for entering and maintaining Authorized staff information in the credentialing software. Notifies applicable departments/services of changes when they occur.
• Responsible for entering and maintaining House Staff (Interns/Residents/Fellows) information/privileges in the credentialing software. Notifies applicable departments/services of changes when they occur.
• Responsible for the technical and administrative support of all functions of the Office of Medical Administration as required or assigned. These functions include, but are not limited to, updating changes to physician profiles, answering incoming telephone calls, scanning/indexing of Credentialing documentation in electronic filing system, handling incoming and outgoing mail, monitoring Physician Dining Lounge for cleanliness and availability of supplies, responding to credentialing verification requests from external agents.

Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits and Perks

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health.

RWJBarnabas Health is the premier health care destination providing patient-oriented, high‑quality academic medicine in a compassionate and equitable manner, while delivering a best‑in‑class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high‑quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey‑wether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer