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Med Staff, Credentialing Coordinator
University HospitalsMedical Staff Services and Credentialing Coordinator overseeing credentialing process and managing provider performance evaluations. Collaborating with medical staff leadership and ensuring regulatory compliance.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in credentialing processes, regulatory compliance, and data management within a healthcare setting. Proficient in analytical skills, communication, and organizational abilities to support medical staff operations effectively.
Highest-signal resume keywords
Credentialing ExperienceData ManagementAnalytical SkillsMedical Terminology KnowledgeNAMSS CPCS Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Credentialing ProcessData ManagementAnalytical SkillsMedical TerminologyDatabase UtilizationRegulatory CompliancePerformance EvaluationOperational ProceduresProctoring ProcessFinancial Record Management
Soft Skills
Critical ThinkingExcellent CommunicationAttentive ListeningOrganizational SkillsMulti-tasking
Tools & Technologies
Microsoft ExcelAdobe Acrobat ProfessionalCredentialing Database
Certifications & Qualifications
NAMSS CPCS CertificationNAMSS CPMSM Certification
Industry Keywords
Healthcare SettingMedical Staff BylawsRegulatory StandardsQuality AssuranceProvider Performance Evaluation
About the role
Key responsibilities & impact- Analyzes and completes the initial and reappointment application approval process by utilizing independent critical thinking skills, which may involve extensive investigative review and interpretation.
- Partners with Medical Staff Leaders to develop policies, evaluation standards and privilege forms based on regulatory changes or hospital service changes serves as the liaison with Board Members, UH Senior Leaders and Administrators.
- Leads and manages provider performance evaluation process in accordance with Regulatory standards and Medical Staff Bylaws to assess clinical competency at initial approval and annually thereafter to monitor trends.
- Participates in all aspects of meeting management, to provide support for Credentials Committee, Medical Executive Committee/Clinical Council, Quality & Professional Affairs Committee, Hospital Board, and all other applicable medical staff meetings.
- Monitors and follows up on the proctoring process for privileges to ensure timely completion and documentation in accordance with credentialing requirements and regulatory standards for quality purposes.
- Manages the Medical Staff elections process, from ballot distribution through certification of results, ensuring adherence to bylaws and communication with Medical Staff leadership.
- Manages the Medical Staff Dues process, including preparing and distributing annual invoices, tracking payments, and maintaining accurate financial records in accordance with Medical Staff Bylaws.
- Collaborates with leadership to update and create new operational procedures as needed to align with industry standard.
- Serves as content expert and participates in onboarding and training of new team members and supports the medical staff with credentialing related projects as aligned with skill set.
- Investigates issues that arise with providers and may involve physicians, UH staff, and/or hospital leadership.
- Manages data quality and integrity for web-based applications based on defined standards through systematic audits.
Requirements
What you’ll need- Bachelor's Degree (Required) or Three (3) years of direct credentialing experience accepted in lieu of Bachelor's Degree.
- 3+ years of experience working in a similar role, preferably in a healthcare setting (Required).
- 2+ years of experience with database utilization and data management (Required).
- Strong analytical and quantitative skills (Required proficiency).
- Advanced verbal, writing and editorial skills (Required proficiency).
- Attentive listening skills (Required proficiency).
- Confidence interacting with UH Senior Leaders, Physicians, Board Members, and outside agencies (Required proficiency).
- Critical thinking skills, which result in making independent procedural decisions and judgments (Required proficiency).
- Skill in establishing priorities with independent coordination of day-to-day activities (Required proficiency).
- Demonstrated knowledge of medical terminology (Required proficiency).
- Excellent communication and organizational skills (Required proficiency).
- Ability to work in a fast-paced environment (Required proficiency).
- Ability to multi-task (Required proficiency).
- Excellent computer skills, including knowledge of Microsoft applications (primarily Excel) knowledge of Adobe Acrobat Professional and credentialing database experience (Required proficiency).
- NAMSS CPCS and/or CPMSM certification (within 5 years).
Benefits
Comp & perks- Complies with all policies and standards.
- Annual training.
- The UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.