Medical Staff Credentialing Coord

POSITION SUMMARYThe Medical Staff Credentialing Coordinator serves as an essential link and resource between the medical staff and hospital management to coordinate the operational processes and medical staff governance functions of the medical staff.ESSENTIAL JOB FUNCTIONS AND CORE RESPONSIBILITIESProvides management of the medical staff support functions, as outlined in the Medical Staff Bylaws and General Rules and RegulationsPerform credentialing and privileging duties as assigned, including but not limited to the processing of applications for appointment and reappointment, completing a thorough review and analysis of practitioner applications, identification and follow up of "red flag" items; and preparing files for review and recommendation by the medical staff.Excellent problem-solving skills in order to exercise independent judgment in dealing with non-routine medical staff and credentialing concerns.Managing expirations of licensures, permits, certifications, health records, as well as annual dues and application fees and also ensures the accuracy of all information collected.Interacts with and provides administrative support to the medical staff, which includes facilitating medical staff department and committee meetings, preparing emergency on-call schedules, maintaining bank account records, composing correspondences, reports and forms, as needed.Generate queries and prepare credentialing/privileging reports to ensure the flow of information and action items for medical staff committees and board of directors.Interprets, develops and initiates processes and policies to ensure compliance with federal, state, local, and government/insurance agency regulations and guidelines, as well as, Medical Staff Bylaws, rules and regulations, policies and procedures; advises providers, management, and administrators on compliance issues as appropriate.Responsible for managing the continuing medical educational activities for physicians to be in compliance with accreditation standards, as assigned.Assists with clinical privilege development and maintenance of the entity privileging database.Make administrative/procedural decisions and judgments in relation to urgent physician privileging matters that impact patient care.Ensuring accuracy of system-wide processes and maintaining data integrityCoordinate and participate in daily office management duties, including but not limited to; answer phones, handle incoming and outgoing mail, scanning, filing, distribution of information, database management, outlook calendars, ordering supplies and maintaining storage records.Accountable for a professional level of interdepartmental and medical staff interaction as well as accurate maintenance of department records and confidential physician data and hospital correspondence.Performs special projects and other duties as assigned.JOB REQUIREMENTSEducation Minimum (Required) High School Diploma or equivalentPreferred (Not required) Bachelor's DegreeWork Experience Minimum (Required)Minimum of two years of experience working in a medical staff office or three years of experience working in a healthcare setting which is related to the duties and responsibilities specified.Excellent computer skills (Microsoft Office - Word, Excel, PowerPoint, Outlook and performing Internet ResearchPreferred (Not required)Knowledge of Medical terminologyExperience with Publisher, Credentialing software (MDStaff) and QuickbooksAdministrative Assistant and/or Secretarial education experienceLicenses and Certifications Minimum (Required)Preferred (Not required) Current NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS) or actively pursuing certification and achieve within five years of employment.Required Skills, Knowledge, and Abilities (SKA's)Working knowledge of medical staff affairs and operational processesKnowledge of medical credentialing and privileging processes and standards.Knowledge of accreditation and certification requirementsWorking knowledge of clinical and/or hospital operations and procedures.Knowledge of clinical privilege criteria development.Working knowledge of medical staff policies, regulations, and bylaws and the legal environment within which they operate.Detail oriented and able to analyze, interpret, and draw inferences from research findings.Ability to communicate effectively, both orally and in writing, with all levels of the organization.Ability to use independent judgment and to manage and impart confidential information.Knowledge of project management principles, practices, techniques, and tools.Possess excellent database management skills, including query and report generation.Capable of managing multiple tasks in an organized and efficient manner, setting priorities and meeting deadlines.Ability to work independently and make administrative/procedural decisions and judgments in urgent situations when necessary.At USC Arcadia Hospital every team member of our 348-bed hospital strives to provide an exceptional patient experience while exemplifying our shared values of iRAISE - Integrity, Respect, Accountability, Innovation, Safety and Excellence. We achieve this through compassionate care, creating lifelong relationships by changing the way health and healthcare are delivered in our community.At USC Arcadia Hospital, you'll enjoy an excellent compensation and benefits package (Medical, Dental, Vision, Retirement Savings Plan with match, Life Insurance, Flexible Spending Account, Employee Assistance Program, Tuition Reimbursement, Paid Time Off, Free On-Site Parking, Child Care, Employee Referral Bonus Program, etc.), including professional development programs, and much more.Living and Working in the San Gabriel Valley:The City of Arcadia is located in the beautiful San Gabriel Valley, which is one of the best places to live and work in California and is just 15 miles north of downtown Los Angeles. The region offers a multitude of diverse entertainment, shopping and exceptional restaurant options. The San Gabriel Valley is less than an hour away from sunny Southern California beaches, and less than two hours away from local mountain resorts like Big Bear and Lake Arrowhead.Locally, Arcadia is a wonderful, thriving community featuring the Los Angeles County Arboretum and Botanic Gardens as well as the Santa Anita Park racetrack, and is located next to the City of Pasadena, which hosts the New Year's Day Rose Parade and Rose Bowl game annually. The region boasts excellent public and private schools and universities close by, including Cal Tech, USC, UCLA, Cal State Northridge, Cal Poly Pomona, Azusa Pacific University and the Claremont Colleges. Arcadia was recently named "Best Place to Raise Your Kids" by Bloomberg Businessweek magazine and is the perfect place to call home.Equal Employment Opportunity:USC Arcadia Hospital is an equal opportunity, affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC Arcadia Hospital's policy. USC Arcadia Hospital will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient safety.Pay TransparencyThe annual salary range for this position is $62,632.96 - $91,520.00. When extending an offer of employment, the University of Southern California Arcadia Hospital considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, State, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

Created: 2025-02-03