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Scheduled Weekly Hours:
40
Work Shift:
Days (United States of America)
Summary of Primary Function
Under the direction of the Manager, Medical Staff Services, the Credentialing Coordinator is a resource regarding practitioner competency (credentialing and privileging), accreditation, regulatory, and internal compliance, legal principles of credentialing, and implementation and development of credentialing and privileging systems. Organizes the development and implementation of a comprehensive and specialized credentialing and privileging program to assure continued Joint Commission/CMS standards.
Essential Functions:
Responsible for all aspects of the initial application, reappointment, and privileging process for Medical and Allied Health (AHP) staff once the Credentialing Verification Organization has completed the Primary Source Verifications. Obtains provider-specific credentialing, quality, and privileging data and presents to the Medical Staff Leadership for action.
Provides reports (from Medical and AHP staff data) to SRMC Administration, Medical Staff leadership, and Medical Center staff upon request.
Assists in developing and maintaining credentialing and privileging forms and processes.
Performs delegated credentialing, initial and reappointment, for all delegated credentialing arrangements.
Prepares agenda, minutes, and correspondence for the Chairman of the Credentials Committee
Prepares agenda, minutes, and correspondence for Division Chiefs of assigned Medical Staff meetings.
Verifies and tracks certification expirations and updates the database as appropriate.
Prepares and presents data for completion of Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) as it relates to the maintaining of privileging for the Medical and Allied Health staff. This data is presented to Medical Staff leadership for action.
Maintains accurate database of all Medical and AHP staff members’ privileges and profile information.
Prepares and facilitates provider orientations for the new non-employed providers.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Required Minimum Education:
High School Diploma or GED
Preferred Education:
2 Year/ Associates Degree
Licensure/Certification Required:
CPCS Certification or ability to gain CPCS within one year of eligibility.
Minimum Years and Type of Experience:
3 – 5 Years of office experience
Other Knowledge, Skills and Abilities Required:
Medical terminology and advanced computer skills. Must possess sound critical thinking and acute attention to detail. Must be able to work with minimal supervision and possess excellent written and verbal communication skills. Working knowledge of Microsoft Office programs. Internet/intranet, ability to access the internet and research relevant material as it relates to the current job.
Other Knowledge, Skills and Abilities Preferred:
Working knowledge of healthcare and credentialing industry preferred.
Mercy Health is an equal opportunity employer.
As a Mercy Health associate, you’re part of a Misson that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
What we offer
• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support
Benefits may vary based on the market and employment status.
Department:
Medical Staff Affairs - St. Rita's
It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, a ll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com .