Lead Credentialing Coordinator - Medical Staff Office

TriHealth; United States; On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

Retirement plans

Tuition reimbursement

Job summary

TriHealth in Norwood, OH is seeking a Lead Credentialing Coordinator to manage initial appointment and reappointment credentialing for medical staff. The role supports the Credentials team and Medical Executive Committee activities.

You will review applications, audit processes, and ensure confidentiality while guiding colleagues and leadership. Strong communication and critical thinking are essential to maintain high standards of credentialing and patient safety.

Qualifications

• High School Diploma or GED required.
• 1–2 years of business school, college, or specialty certification required.
• 3–4 years of professional experience required.
• Medical staff credentialing or healthcare credentialing.
• CPCS - Cert Provider Credentialing Specialist within 1 year required.

Responsibilities

• Timely credentialing/processing of applications for initial appointment and reappointments.
• Performs executive support for Credentials and Medical Executive Committee activities.
• Provides needed support and guidance to colleagues and medical staff leadership.
• Monitors continuous development and maintenance of a credible process including routine auditing and reviewing of applications for Medical Staff Appointment/Privileges.
• Guides and ensures appropriate follow-up and action to address any potential concerns related to credentialing and privileging.

Skills

Credentialing

Executive support

Data confidentiality

Communication skills

Education

High School Diploma or GED

Tools

CPCS

Job description

At TriHealth, you'll be part of an award-winning healthcare system committed to delivering exceptional patient care and improving community health. We invest in our team members through professional development, advanced training opportunities, and supportive leadership. Whether you're beginning your career or bringing years of experience, you'll find a purpose-driven culture where your contributions are valued and your growth is encouraged.

Location: Norwood, OH

Work Schedule:

• Full-Time (80 hours bi-weekly)
• Days
• No weekends, no holidays

Incentives & Benefits:

We offer a comprehensive benefits package , including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. For more information, please visit our benefits page: https://careers.trihealth.com/what-we-offer/benefits

Job Requirements:

• High School Diploma or GED Degree (Required)
• 1 - 2 years of business school, college, university or specialty certification. (Required)
• 3 - 4 years of professional experience. (Required)
• Medical staff credentialing or healthcare credentialing
• CPCS - Cert Provider Credentialing Spec within 1 Year Required

Job Overview:

This position reports to the Director of the Medical Staff Services. Duties and responsibilities include credentialing/processing of applications for initial appointment, facilitating reappointments and performing executive support for Credentials and Medical Executive Committee activities. The Lead credentialing coordinator must provide needed support and guidance to colleagues and medical staff leadership in determining the competency of practitioners to provide high quality, safe patient care, reduce the risk of organizational liability for poor care and/or patient harm and physical ability to discharge patient care responsibilities. This requires development and maintenance of a credible process including routine auditing and reviewing of Applications for Medical Staff Appointment / Privileges; ability to work independently; provision of diligent data collection and evaluation; exercise critical thinking and judgment in identifying potential concerns regarding an applicant's licensure, education, training, current competence; prioritize numerous tasks in a fast-paced environment; excellent verbal, written and interpersonal communication skills; ensures confidentiality of physician data; exhibits high level of professionalism and diplomacy. The Lead Credentialing Coordinator must be capable of guiding and ensuring appropriate follow-up and action to address any potential concerns.

Job Responsibilities:

• Timely credentialing/processing of applications for initial appointment and reappointments.
• Performs executive support for Credentials and Medical Executive Committee activities.
• Provides needed support and guidance to colleagues and medical staff leadership in determining the competency of practitioners.
• Monitors continuous development and maintenance of a credible process including routine auditing and reviewing of applications for Medical Staff Appointment/Privileges.
• Guides and ensures appropriate follow-up and action to address any potential concerns related to credentialing and privileging.

Other Related Information:

The Lead Credentialing Coordinator works under the supervision of the Director of Medical Staff Office and the Vice President Quality & Accreditation.

This position serves as the Lead credentialing coordinator in the Medical Staff Office.

Working Conditions:

• Climbing - Rarely
• Concentrating - Consistently
• Continuous Learning - Consistently
• Hearing: Conversation - Consistently
• Hearing: Other Sounds - Occasionally
• Interpersonal Communication - Consistently
• Kneeling - Rarely
• Lifting

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS...

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS...

• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service

Respect: ALWAYS...

• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone's opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS...

• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical env