Medical Staff Credentialing & Compliance Coordinator

Overview:Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks accomplished Medical Staff Credentialing & Compliance Coordinator Candidate must be authorized to work in USA without requiring sponsorship Location: 450 Stanyan St, San Francisco, CA 94117 Duration: 18 weeks contract w/ possibility of extensionDescription:Seeking a Medical Staff Coordinator to manage credentialing and privileging.Oversee ED Call Schedule and manage committee meetings, including minutes, agendas, and scheduling.Screen and pre-vet applicants, ensuring all credentialing data is accurate and complete.Enter and maintain provider data in credentialing systems (Cactus, ECHO).Audit completed credentialing applications and route files for departmental approval.Prepare credentialing files for committee review/approval and ensure compliance with bylaws and accreditation standards (TJC, NCQA, CMS, state/federal regulations).Assist with OPPE/FPPE competency data and track expiring licenses/certifications.Involves the development, implementation, and monitoring of effective and efficient systems to facilitate all aspects of medical staff services and credentialing.Provides for the processing of applications and verification of physician licensing and certifications.May also involve the preparation of agendas and related materials for medical staff meetings and peer review activities.May serve as the liaison between the medical staff and all hospital departments to coordinate and provide overall continuity of medical staff activities.Monitors compliance with medical staff bylaws, rules, regulations, policies, and procedures.Initiates and cultivates partnerships with department management, medical staff, and hospital leadership to ensure compliance and optimal efficiency for appropriate membership, credentialing, and privileges.First responder to onboarding and revenue channel disruptions as well as performs auditing functions pursuant to facility bylaws, rules, and regulations; credentialing policy and procedures; and other applicable accreditation/payor standards (e.g., NCQA, TJC, DHS, DMHC, CMS, delegated credentialing agreements, etc.).Facilitates and supports committees and continuous performance improvement efforts to achieve department and organization goals/workplans.Implements policy and procedures, provides training and orientations to a variety of constituents, and supports efforts to sustain best practices.50% - Cultivate and produce efficient and compliant credentialing and privileging processes.25% - Acts as a key resource for the credentialing committee and other medical staff committees.20% - Serves as the liaison between the medical staff, leadership, and all hospital departments to coordinate all credentialing requests.5% - Provides administrative support for medical services offices. Coordinates and implements large, ongoing administrative projects to ensure processes are efficient.Other duties as assigned.QualificationsMinimum 3 years of experience in credentialing, compliance, audit, or healthcare administration.Proficiency in Cactus and ECHO credentialing systems, Microsoft Office Suite, and data management.Strong analytical, multitasking, and problem-solving skills with the ability to work under deadlines.Ability to collaborate across departments and effectively communicate with stakeholders.Certification Requirement: Must obtain Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) within 18 months of hire.Preferred Qualifications:Experience in a community hospital setting.Expert knowledge of accreditation and regulatory requirements (TJC, NCQA, CMS, etc.).Background/experience in the following duties and responsibilities include: ED Call Schedule, Committee meeting management including minutes, agenda and scheduling, screening applicants and pre-vetting, data entry into credentialing systems, experience with Cactus and ECHO systems, auditing completed credentialing applications, routing credentialing files for departmental approval, helps prepare files for committee review/approval, monitors file compliance under the bylaws, state/federal regulatory and accreditation agencies, assisting with OPPE/FPPE competency data, and monitoring expirable.I'd love to talk to you if you think this position is right up your alley, and assure a prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you.Satwinder "Sat" SinghLead Technical RecruiterCompany Overview:Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally; as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients' businesses forward.Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.Applicants, with criminal histories, are considered in a manner that is consistent with local, state, and federal laws.

Created: 2025-03-05