Credentialing Coordinator (Finance)

Performs credentialing duties and collaborates with physician offices, hospital medical staff committees, and the Central Verification Office to complete data collection and documentation for the medical staff and allied health professionals in the credentialing process. Responds to requests for verification and information from internal and external customers. Coordinates and prepares documents for Credentials Committee and other medical staff committees as assigned. Maintains the physician credential/privilege database and files.Preferred: Bachelor degree. | CPCS and/or CPMSM Certification by National Association of Medical Staff Services (NAMSS) preferred. ? CPCS (Certified Provider Credentialing Specialist). ? CPMSM (Certified Professional in Medical Staff Management). | 1-3 yrs experience with physician credentialing, with knowledge of medical staff accreditation standards. Credentialing experience in hospital, physician group, or managed care setting. 1-2 years experience in hospital-based credentialing preferred.Assembles, Compiles, and Presents Documentation to support accurate and timely granting of initial appointment and reappointment to the Medical Staff /Advanced Practice Staff. - 30% Uses information gathered from internal and external sources. Follows organizational and regulatory requirements. Identifies potential problems. Proactively assists in problem resolution. Creates and Updates Databases and Provider-specific Credentialing Files in order to assure compliant, accurate and up-to-date records. - 20% Maintains physician information in Cactus, Last Word, and other applicable data systems. Maintains TB and other health status records. Provides reports to internal and external customers. Ensures integrity of office files by performing peer review on internal files. Effectively Communicates and assists internal and external customers. - 20% Researches general medical staff issues. Works collaboratively with Central Verification Office, Physician Offices, Patient Care Services, Medical Staff leaders, and Hospital Management/Administration. Responds in timely manner. Executes required actions. Identifies potential problems. Proactively assists in problem resolution. Supports Physician /Allied Health Committees. - 15% Prepares agendas and rosters for monthly meetings of Credentials/ Allied Health Committee. Records minutes and prepares, distributes summary of meeting. Maintains documentation as required. Prepares timely and accurate reports for Medical Executive Committee as assigned. Provides overview to new physician members of Credentials Committee. Task: Maintains organized Medical Staff Office. - 10% Performs oversight functions including training and managing performance of credentialing specialist, clerical, and volunteer staff. Maintains clean and organized work environment. Enforces policies and procedures. Assists director with business functions as assigned. Assists director with performance improvement activities, JCAHO accreditation preparation, and other tasks as assigned. Performs other duties as assigned. - 5% | Review the physical demands and assign an overall average percentage of time this position performs these activities. These physical demands will not be listed or rated on the annual performance appraisal. Climbing:Ascending or descending stairs, ladders, ramps, etc, using feet and legs and /or hands and arms - 10% Stooping:Bending body downward and forward by bending spine at the waist - 10% Kneeling:Bending legs at knees to come to a rest on knee or knees - 10% Reaching:Extending hand(s) and arm(s) in any direction - 10% Standing: Remaining upright on the feet, particularly for sustained periods of time - 5% Walking:Moving about on foot to accomplish tasks - 10% Pushing 0-10 lbs:Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 5% Pushing 11-20 lbs: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 0% Pushing 21-50 lbs: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 0% Pushing 51 lbs or more: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 0% Pulling: Use of upper extremities to exert force in order to drag, haul or tug objects in a sustained motion - 5% Lifting 0-10 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 5% Lifting 11-20 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 0% Lifting 21-50 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 0% Lifting 51 lbs or more: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 0% Carrying 0-10 lbs: Holding and moving/transporting an object about - 10% Carrying 11-20 lbs: Holding and moving/transporting an object about - 10% Carrying 21-50 lbs: Holding and moving/transporting an object about - 10% Carrying 51 lbs or more: Holding and moving/transporting an object about - 10% Fingering: Picking, pinching, typing or otherwise working primarily with fingers rather than with the whole hand or arm, as in handling - 90% Feeling: Perceiving attributes of objects such as size, shape, temperature or texture by touching with skin, particularly that of (using) fingertips - 10% Talking: Expressing or exchanging ideas by means of the spoken word - must convey detailed or spoken instructions to others accurately, loudly or quickly - 50% Hearing: Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication - 50% Seeing: The process of perceiving objects by use of the eyes to perform an activity - visual acuity requirements include ability to discern position of object(s), shape of object(s), color, depth perception or visual inspection - 90%Assembles, Compiles, and Presents Documentation to support accurate and timely granting of initial appointment and reappointment to the Medical Staff /Advanced Practice Staff. - 30% Uses information gathered from internal and external sources. Follows organizational and regulatory requirements. Identifies potential problems. Proactively assists in problem resolution. Creates and Updates Databases and Provider-specific Credentialing Files in order to assure compliant, accurate and up-to-date records. - 20% Maintains physician information in Cactus, Last Word, and other applicable data systems. Maintains TB and other health status records. Provides reports to internal and external customers. Ensures integrity of office files by performing peer review on internal files. Effectively Communicates and assists internal and external customers. - 20% Researches general medical staff issues. Works collaboratively with Central Verification Office, Physician Offices, Patient Care Services, Medical Staff leaders, and Hospital Management/Administration. Responds in timely manner. Executes required actions. Identifies potential problems. Proactively assists in problem resolution. Supports Physician /Allied Health Committees. - 15% Prepares agendas and rosters for monthly meetings of Credentials/ Allied Health Committee. Records minutes and prepares, distributes summary of meeting. Maintains documentation as required. Prepares timely and accurate reports for Medical Executive Committee as assigned. Provides overview to new physician members of Credentials Committee. Task: Maintains organized Medical Staff Office. - 10% Performs oversight functions including training and managing performance of credentialing specialist, clerical, and volunteer staff. Maintains clean and organized work environment. Enforces policies and procedures. Assists director with business functions as assigned. Assists director with performance improvement activities, JCAHO accreditation preparation, and other tasks as assigned. Performs other duties as assigned. - 5% | Review the physical demands and assign an overall average percentage of time this position performs these activities. These physical demands will not be listed or rated on the annual performance appraisal. Climbing:Ascending or descending stairs, ladders, ramps, etc, using feet and legs and /or hands and arms - 10% Stooping:Bending body downward and forward by bending spine at the waist - 10% Kneeling:Bending legs at knees to come to a rest on knee or knees - 10% Reaching:Extending hand(s) and arm(s) in any direction - 10% Standing: Remaining upright on the feet, particularly for sustained periods of time - 5% Walking:Moving about on foot to accomplish tasks - 10% Pushing 0-10 lbs:Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 5% Pushing 11-20 lbs: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 0% Pushing 21-50 lbs: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 0% Pushing 51 lbs or more: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 0% Pulling: Use of upper extremities to exert force in order to drag, haul or tug objects in a sustained motion - 5% Lifting 0-10 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 5% Lifting 11-20 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 0% Lifting 21-50 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 0% Lifting 51 lbs or more: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 0% Carrying 0-10 lbs: Holding and moving/transporting an object about - 10% Carrying 11-20 lbs: Holding and moving/transporting an object about - 10% Carrying 21-50 lbs: Holding and moving/transporting an object about - 10% Carrying 51 lbs or more: Holding and moving/transporting an object about - 10% Fingering: Picking, pinching, typing or otherwise working primarily with fingers rather than with the whole hand or arm, as in handling - 90% Feeling: Perceiving attributes of objects such as size, shape, temperature or texture by touching with skin, particularly that of (using) fingertips - 10% Talking: Expressing or exchanging ideas by means of the spoken word - must convey detailed or spoken instructions to others accurately, loudly or quickly - 50% Hearing: Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication - 50% Seeing: The process of perceiving objects by use of the eyes to perform an activity - visual acuity requirements include ability to discern position of object(s), shape of object(s), color, depth perception or visual inspection - 90%