Medical Staff Credentialing Coordinator

Rancho Mirage, CA

Location: Rancho Mirage, CA



Duties:
Demonstrates compliance with Code of Conduct and compliance policies and takes action to resolve compliance questions or concerns and report suspected violations.
Coordinates credentialing process for initial appointment and reappointment of physicians and advanced practice providers (APP) and locum tenens. Responsible for ensuring applicant’s qualifications meet or exceed established guidelines set by the medical staff and all required information is verified prior to review by Section Chiefs/Department Chairs and submission to Credentials Committee or Interdisciplinary Practice Committee.
Evaluates primary source responses and alerts applicable leaders as red flags are identified to ensure an additional follow up is preformed timely and there are no surprises that would delay a provider beginning to work
Responsible for ensuring all reappointments are completed according to schedule and do not exceed the two-year reappointment period as specified by the Joint Commission/CMS.
Ensures competency requirements set by Departments and/or Specialty sections are adhered to by all practitioners; following up when necessary to gather applicable support documentation.
Prepares and processes Temporary Privilege requests when applicable.
Serves as primary liaison to Department Chairs and Section Chiefs.
Updates practitioner demographic information as applicable to ensure integrity of the medical staff credentialing database and assures quality and accuracy of data.
Prepares Credentials and Interdisciplinary Practice meeting minutes, confidential correspondence, and follow-up.
Prepares Credentials and Interdisciplinary Practice reports to MEC/BOD.
Monitors licensures/certificates, malpractice, sends reminder notices, and updates ECHO database with renewals prior to expiration.
Coordinates New Physician Orientation process by notifying practitioners, preparing orientation manuals, facilitating physician lab coats, photo ID with HR, etc.
Prepares updates to Reappointment Schedules as specialty cycles are completed.
Prepares BOD approval letters based on Credentials report.
Participates and contributes to quality improvement activities of the department."
Researches new technology and new privileges to the organization to assist with the develop of criteria and collaborates with IT to ensure ability to generate activity reports .
leads the ongoing review and updating of criteria for privileging and coordinators the medical staff leadership review and approval as such.
Assess proctoring status at the time of provisional review, ensuring all requirements are met prior to advancements.
Ensures reappointments to provisional status do not exceed two years.
Generate OPPE reports and ensures they are included in the review of competency at the time of provisional review and reappointment.
Orient new physician leaders & guide them on an ongoing basis, to ensure compliance with Joint Commission and CMS requirements.
Assist Program Manager with daily operations including meeting management, minutes, follow up, submitting recommendations to the medical executive committee in the absence of the other departments members
Performs other duties as assigned.

Skills:
Comprehensive knowledge of physician and advanced practice providers credentialing and privileging. for initial applications, reappointment applications, change in location/duties. additional privilege request, locum tenens request and temporary privileges requests.
Working knowledge of Medical Staff, federal and state regulatory requirements, Medical Staff Bylaws, General Medical Staff Rules and Regulations, Departmental Rules and Regulations and certification requirements.
Excellent verbal, written and interpersonal communication skills.
Comprehensive knowledge of medical staff-related databases and electronic management of credentialing data/information.
Recommend improvements to software.
Comprehensive knowledge of medical staff credentialing & privileging platform.
Ability to create, generating, and amending reports from various databases.
Ability to organize and manage a large volume workload.
Ability to critically analyze primary source as received.

Education:
Required : Bachelor Degree
Licensure/Certification : Required : CPCS or CPMSM National certification. Participate in ongoing education to attain Continuing Education Units required to maintain national certification
Experience : Required: 3 years in a hospital medical staff office performing duties representative of this position This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for this position, however, as a supplier your expected pay range may vary and/or include certain benefits like: Stipends (for clinical traveler workers only), Medical, Dental, Vision, 401K [include any compulsory benefits such as commissions, incentive bonuses, etc. if applicable]. Pay range (USD)29.14 hrly - (USD)43.40 hrly

Minimum Degree Required:
Also Preferred:

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