Senior Medical Staff Coordinator

Parkland Health; Greendale (IN); On-site; USD 90,000 - 120,000; Full time

Job summary

Parkland Health is seeking a Sr. Medical Staff Coordinator to lead credentialing operations, audit processes, and ensure compliance. You will manage data, coordinate verifications, and prepare reports for hospital medical staff and affiliated providers.

The role requires thorough knowledge of credentialing, strong communication, and the ability to train staff. A NAMSS certification is expected within two years, and the candidate will support FPPE/OPPE initiatives.

Qualifications

• High School diploma or GED required.
• Six years of Medical Staff/Credentialing experience.
• NAMSS certification (CPMSM or CPCS) within two years of employment.

Responsibilities

• Prepare and process credentialing documents for physician/practitioner appointments and reappointments.
• Coordinate verifications to ensure accuracy and completeness of information.
• Maintain confidential credentialing files and update practitioner data.

Skills

Credentialing

Regulatory compliance

Data analysis

Auditing

Communication

Education

High School diploma

NAMSS Certification

Tools

MDSTAFF

SharePoint

Outlook

Adobe Pro

Job description

PRIMARY PURPOSE

The Sr. Medical Staff Coordinator serves as lead of the Operations or Support Services team, work level expert, coordinating administrative functions of the Medical Staff Professional Services area ensuring that all credentialing and accreditation processes are completed for Parkland and affiliated institutions and only qualified and competent physicians and non-physician practitioners are appointed and reappointed to the hospital staff while assuring regulatory compliance of policies, procedures, bylaws and rules and regulations. Conducts audits, ongoing reviews, and monthly meeting organization. Analyze and prepare presentations and reports regarding practitioner/provider credentialing and/or performance improvement and data is clear, concise, and structured.

MINIMUM SPECIFICATIONS

Education

• High School diploma or GED.

Experience

• Six years of Medical Staff/Credentialing experience.

Equivalent Education and/or Experience

• May have an equivalent combination of education and experience to substitute for the experience requirements.

Certification/Registration/Licensure

• Must be certified by the National Association Medical Staff Services (NAMSS) as a Certified Professional in Medical Services Management (CPMSM) or a Certified Provider Credentialing Specialist (CPCS), within two years of employment.

Required Tests for Placement

• None.

Skills or Special Abilities

• Must have excellent verbal and written communication skills and be able to communicate effectively with Medical Staff and hospital personnel.

• Must have expert knowledge of hospital accreditation, medical/allied staff credentialing, privileging, appointment and licensure requirements.

• Must have good organizational skills.

• Must be familiar with personal computer, word processing, data processing and spreadsheet usage.

• Familiarity with The Joint Commission (TJC) standards as it relates to the Medical Staff and credentialing

• Proficiency with MDSTAFF or similar credentialing software

• Proficiency in Adobe Pro and Microsoft Outlook.

• Experience using SharePoint is preferred.

• Strong interpersonal, critical thinking and problem solving and relationship building skills with positive attitude and demeanor.

• Ability to take initiative to research and form conclusions independently.

• Ability to manage multiple deadlines and time constraints in a fast-paced environment.

• Demonstrated ability to collaborate effectively and work as part of a team including internal and external stakeholders.

• Ability to perform detail work efficiently and with a high degree of accuracy.

• Clear and professional verbal and written communication skills with the ability to clearly explain complex processes.

• Skilled in interpreting, analyzing, and providing recommendations regarding data accuracy and data collection needs and processes.

• Excellent planning, organization, time management, and documentation skills.

• • Ability to train staff on various credentialing processes and data base management

• Ability to educate, and inspire top-quality work product from remote environment.

Responsibilities

• Serves as an expert resource in the preparation, analysis, and processing of credentialing documents for hospital medical staff/allied healthcare staff privileges applications and reapplication to assure that qualified and competent physicians and practitioners are appointed and reappointed to the hospital staff, while providing optimal services to internal and external customers.

• Coordinates processing applications through direct source verifications to assure information provided and/or requested is accurate and complete.

• Maintains open communication serving as an expert resource to practitioners, medical boards, etc. for issues of sensitivity, problem solving, or confidentiality. Maintains and updates confidential credentialing files on all medical staff/allied health staff members while maintaining a positive working relationship with all internal and external contacts.

• Maintains and updates data base/master roster of medical/allied health staffs by specialty appointment category, status and appointment/reappointment dates to provide current information for decision making and research purposes. Utilizes credentialing database and mainframe software programs.

• Generates reports, demographics, statistical information, appointments, staff roster, etc. to satisfy multi-external agency requests and various departmental requests that support the mission, goals and objectives of the hospital and Parkland.

• Accurately maintains the credentialing data base.

• Attends the medical staff committee meetings as assigned by the director and prepares the agenda for each committee meeting for review and approval by the committee chair, records committee minutes; initiates follow-up action as dictated by the committee minutes.

• Closely monitors information collection, evaluates adequacy of quality data and information; request additional information if necessary for effective and comprehensive peer review decision-making.

• Builds and maintains relationships with internal, and external credentialing partners including physicians and hospital leadership.

• Ability to define problems, collect data, establish facts and draw valid conclusions.

• Maintains oversight of the practitioner data.

• Identifies opportunities for improvement through the audit process and provide recommendations.

• Accurately tracks, reports, and follows up on the status of credentialing applications.

• Maintains a strict degree of confidentiality in all areas relating to provider credentials, status and provider personal information.

• Familiar with all credentialing department policies and procedures.

• Participates in miscellaneous audit projects throughout the year as required.

• Communicates with leadership regarding any or all credentialing delays or issues.

• Conducts training sessions for all incoming staff on processes, procedures and database.

• Must be familiar with Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) processes.

• Performs audits of credentialing files and TJC tracers.

• Acts as a mentor for Medical Staff Coordinators and Credentialing Specialists.

• Other duties as assigned.

Job Accountabilities

• Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.

• Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.

• Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.