Credentialing Coordinator - Medical Staff Services

Tampa General Hospital, Inc.; Tampa (FL); Remote; USD 52,000 - 68,000; Full time

Job summary

Tampa General Hospital in Tampa, FL seeks a Credentialing Coordinator to oversee credentialing and privileging for the medical staff, ensuring compliance with bylaws, policies, and external accreditation standards such as The Joint Commission, CMS Conditions of Participation, and state laws.

You will manage applications, verify credentials via primary sources, maintain files, and support evaluation and decision-making while coordinating with physicians and leadership to onboard and reappoint

Qualifications

• Associate degree(s) and credentialing experience required per job ad.
• Knowledge of The Joint Commission, CMS, and state credentialing laws.
• Ability to manage complex credentialing files and verify documentation.
• Experience with primary source verification and file retention.

Responsibilities

• Manage initial and reappointment credentialing applications for compliance.
• Verify education, training, licensure, and work history via primary sources.
• Maintain credentialing files and track expirable licenses/certifications.
• Support evaluation and decision-making for granting privileges.
• Ensure timely processing to onboard physicians and reappointments.
• Communicate credentialing requirements and status with stakeholders.
• Monitor accreditation standards and state regulations relevant to credentialing.

Skills

Credentialing software

Bylaws & compliance

Communication skills

Attention to detail

Time management

Education

Associate’s Degree Healthcare Administration

Associate’s Degree Related Field

Tools

Credentialing software systems

Electronic file management

Office applications

Job description

Job Description - Credentialing Coordinator - Medical Staff Services (260004JF)

Job Description

Credentialing Coordinator - Medical Staff Services - ( 260004JF )

Description

Under the direction of the Credentials Verification Organization (CVO) leadership the Credentialing Coordinator is responsible for managing all credentialing and privileging activities for the organized medical staff. This includes ensuring compliance with internal bylaws, policies, and external accreditation standards such as The Joint Commission, CMS Conditions of Participation, and state laws. The role involves application management, verification of credentials, maintenance of files and expirable, and supporting evaluation and decision-making processes. The Credentialing Coordinator serves as a liaison between physicians and leadership, guiding medical staff through credentialing processes and generating documentation to support findings. The position requires adherence to Tampa General Hospital's mission, vision, and values.

Essential Functions:

• Manage initial and reappointment credentialing applications, ensuring completeness and compliance with internal and external standards.
• Verify credentials, including education, training, licensure, certifications, and work history, through primary source verification.
• Maintain accurate and up-to-date credentialing files (electronic and/or hard copy) and track expirables such as licenses and certifications.
• Support the evaluation and decision-making process for granting privileges by providing accurate documentation and analysis.
• Ensure timely processing of credentialing activities to facilitate onboarding of new physicians and reappointments.
• Communicate effectively with medical staff, department chiefs, and leadership regarding credentialing requirements and status updates.
• Monitor compliance with accreditation standards, CMS Conditions of Participation, and state regulations related to credentialing and privileging.
• Identify and elevate potential quality-of-care or behavioral issues discovered during credentialing reviews.
• Represent administrative issues and foster collaboration between physicians and hospital leadership.
• Participate in continuing education, mandatory training, and professional development to maintain current knowledge of credentialing standards and best practices.

Qualifications

Education Qualifications:

• Associate’s Degree Healthcare Administration
• Associate’s Degree Related Field

Experience Qualifications:

• Associate’s degree with three (3) years of Credentialing experience OR Bachelor’s degree with two (2) years of credentialing experience.

Skills and Abilities:

• Comprehensive understanding of medical staff bylaws, rules, and regulations, as well as external agency requirements (The Joint Commission, CMS, state laws).
• Ability to manage complex credentialing files, verify credentials, and maintain accurate records to ensure compliance and timely processing.
• Capacity to identify issues in credentialing processes, analyze information, and recommend solutions to maintain quality and compliance.
• Strong verbal and written communication skills to interact diplomatically with physicians, leadership, and external agencies.
• Ability to prioritize tasks, manage multiple deadlines, and work efficiently in a high-stress environment with frequent interruptions.
• Skilled in using credentialing software systems, electronic file management, and standard office applications

Primary Location

Tampa

Work Locations

TGH Main Campus 1 Tampa General Circle Tampa 33601

Eligible for Remote Work : Fully Remote

Job

Scheduled Days : Monday, Tuesday, Wednesday, Thursday, Friday