Lead Medical Staff Coordinator

Overview

Responsibilities :

Oversees all administrative duties such as employee hiring, training, development, evaluation. Demonstrates responsibility and accountability for departmental services.

Serves as a liaison in ensuring Medical Staff applications, appointments, privileges, credentialing, and administrative support services for the medical staff, and appropriate health professionals are coordinated in a thorough, accurate and timely manner.

Ensures Medical Staff Office and credentialing program is in compliance with Medical Staff standards, The Joint Commission, legal and all regulatory and accrediting agency standards.

Interprets, explains and follows all regulatory guidelines, including medical staff bylaws, fair hearing plan, rules and regulations and policies.

Works collaboratively in an interdisciplinary team approach to ensure physician concerns are addressed through established medical staff processes.

Coordinates with quality department to ensure facilitation of both Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE).

Plans activities of the Medical Staff Committees, as well as, provides direction and oversight for personnel preparing and maintaining ER call schedules.

Supports the Chief of Staff, Chiefs of

departments, and the Chief Medical Officer in the context of their responsibilities and credentialing roles.

Serves as key liaison to clinical department administrators, department heads and other personnel regarding the clinical faculty employment, credentialing processes and development of Delineation of Privileges Forms to ensure that all credentialing is a criteria-based system.

Responsibilities

POSITION SPECIFIC DUTIES (other duties may be assigned)

1. Responsible for the credentialing process and onboard process of the medical staff and allied health professional including processing new applicants, reappointments, temporary privileges and resignations of medical staff and allied health professionals.

2. Function as super-user and trainer for the physician database. Communicate with database help desk as needed.

3. Coordinate monthly Credentials Committee, Interdisciplinary Practice Committee and quarterly Department meetings to include preparing agenda packets, securing physician reviewers, writing minutes and following-up on all outstanding issues.

4. Prepare monthly hospital board report.

5. Maintain and update all privilege lists for medical staff and allied health professionals.

6. Monitor physician and allied health professional proctoring and follow-up on delinquencies.

7. Maintain current knowledge about the JCAHO credentialing and privileging process.

8. Maintain orderly, complete and a survey ready credentials files

9. Secure all required documents for credentialing providers.

10. Obtain required credentialing QA information from various hospital departments

Qualifications

EXPERIENCE

1. Minimum of three years of experience in a medical staff office.

2. Knowledge of State, Federal, and Joint Commission regulations.

3. Demonstrated current credentialing and privileging experience

4. Management or Supervisor experience preferred

5. Working knowledge of accreditation process and standards, health care and credentialing industry, regulatory and legal requirements and other national standards.

6. Demonstrated success and experience in medical staff services

7. Significant experience and knowledge in working with other healthcare organizations such as hospitals, managed care, credentialing verification organizations and ambulatory care

CERTIFICATIONS / LICENSURE :

1. None required; CPCS (Certified Provider Credentialing Specialist) preferred but not required