Medical Staff Coordinator Senior

CommonSpirit Health; Lakewood (CO); Presencial; USD 70.000 - 95.000; Jornada completa

Descripción de la vacante

OrthoColorado Hospital in Colorado is seeking a Senior Medical Staff Coordinator to manage governance, credentialing, and privileging for multiple medical staffs across locations, ensuring quality patient care and efficient operations.

You will lead credentialing processes, educate providers, and serve as the primary resource for credentialing software training, while driving continuous improvement and regulatory compliance. Strong leadership and regulatory knowledge are essential to succeed.

Formación

• Three years credentialing/medical staff/payor enrollment experience or degree in Medical Staff Services Management in lieu of experience.
• Demonstrated working knowledge of The Joint Commission, CMS, and Department of Health standards.
• Proven leadership and negotiation abilities with physicians and Medical Staff leaders.
• Experience with credentialing software and databases.
• Strong organizational skills to handle high volumes and deadlines.

Responsabilidades

• Assemble and authenticate credentialing applications for Medical Staff and related groups per procedures and timelines.
• Maintain database integrity and current credentialing elements for a large provider network.
• Serve as the technical resource on accreditation standards, bylaws, and policies.
• Educate and assist volunteer leadership in credentialing review and training on software.
• Lead medical staff coordinators and orient new associates; motivate leaders on governance tasks.
• Direct and facilitate tasks with physician leaders to support the governance system.

Conocimientos

Leadership

Credentialing

Regulatory knowledge

Database management

Communication

Problem-solving

Educación

High School Diploma/G.E.D.

Medical Staff Services Management degree

CPMSM or CPCS certification

Herramientas

Credentialing software

Credentialing databases

Descripción del empleo

Job Summary and Responsibilities

As our Senior Medical Staff Coordinator, you will effectively manage the Medical Staff's Governance, Credentialing, and Privileging functions for multiple Medical Staffs across various locations, ensuring quality patient care and operational efficiency.

Every day you will prioritize multiple departmental tasks and projects, coordinate medical staff governance activities, and perform all aspects of the credentialing/privileging program, while serving as the primary resource for provider education, onboarding, and credentialing software training.

To be successful in this role, you will possess strong leadership and organizational skills, a deep understanding of medical staff governance and credentialing processes, the ability to adapt to diverse organizational structures, and excellent communication and problem-solving abilities to manage complex issues and ensure compliance with regulatory standards.

• Responsible for assembling and authenticating credentialing applications for all Medical Staff, Advanced Practice Provider, Clinical Assistant, Medical Scribes across the system in accordance with established department procedures and time frames, including importing applications, primary source verification, direct communications, collection, analysis, and pursuit of additional information.
• Ensure database integrity and currency of all credentialing elements for highvolume of providers, to include licensure, DEA registration, professional liability coverage, specialtyboard certification, health status, etc.
• Serve as the technical resource regarding accreditation standards, bylaws, and policies and procedures governing the medical staff.
• Educate and serve as the technical assistant to volunteer physician leadership in their evaluation of the current clinical competence of applicants and appropriateness of credentialing requests, references/recommendations, delineations of privileges/criteria, etc.
• Serve as a team lead for medical staff coordinators and specialists and participates in orientation and training of new associates.
• Direct, facilitate and motivate physician leaders to accomplish their assigned tasks with matters of significance to department business or in support of the governance system.

Job Requirements

Required

• High School Diploma/G.E.D.
• Three (3) years credentialing/medical staff /payor enrollment related experience or degree in Medical Staff Services Management in lieu of experience
• Demonstrated working knowledge of The Joint Commission, CMS, and Department of Health standards
• Proven leadership skills
• Proven abilities in arbitrating and negotiating issues between physicians and Medical Staff leaders/hospital departments
• Demonstrated computer and database management skills, with previous experience utilizing credentialing software
• Strong knowledge of clinical/medical terminology
• Effective organizational skills required to handle voluminous influx of credentialing applications and to prioritize tasks in order to meet cyclical deadlines
• Adeptness at developing multiple productive relationships and balancing requests/needs of multiple facilities

Preferred

• Associate's Degree
• Successful experience with previous accreditation surveys.
• CPMSM or CPCS certification.

Where You'll Work

OrthoColorado Hospital is Colorado's only orthopedic specialty hospital and is designed specifically for the orthopedic patient. With such a specialized facility and team of experts - we have the utmost in experience and understanding of the needs of orthopedic patients - meaning better outcomes, increased patient satisfaction and a reduced risk of infection or complications. Located on the St. Anthony Medical Campus, OrthoColorado Hospital is a joint venture between physician investors and CommonSpirit Health Mountain Region. Our state-of-the-art facility features a 48-bed inpatient unit, including six intermediate care beds and eight operating rooms. All members of our staff and team, from pre-operative care through recovery, and our in-patient nurses are specialty trained in orthopedics. Our surgeons are renowned for their talent, knowledge and experience in their orthopedic specialties and sub-specialties. Having a team with a focused background and years of experience allow our staff to provide an unprecedented level of care, resulting in the best outcomes and experience for our patients.