Medical Staff Credentialing Coordinator

AdventHealth

Castle Rock, CO

JOB DETAILS
SALARY
$21.80–$40.55 Per Hour
SKILLS
Administrative Skills, Career Development, Certified Professional Medical Services Management (CPMSM), Certified Provider Credentialing Specialist (CPCS), Computer Skills, Database Administration, Healthcare, Maintain Compliance, Medical Office Administration, Medical Records, Medical Terminology, Microsoft Office, Organizational Skills, Psychiatry and Mental Health, Regulatory Compliance, Retirement Plan, Staff Policies
LOCATION
Castle Rock, CO
POSTED
6 days ago

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

  • Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

  • Paid Time Off from Day One

  • 403-B Retirement Plan

  • 4 Weeks 100% Paid Parental Leave

  • Career Development

  • Whole Person Well-being Resources

  • Mental Health Resources and Support

  • Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America

Address:

2350 MEADOWS BLVD

City:

CASTLE ROCK

State:

Colorado

Postal Code:

80109

Job Description:

Coordinates the administrative functions related to the credentialing and privileging process for physicians and allied health professionals. Provides administrative support to Medical Staff leaders, departments, and committees. Ensures the accuracy and completeness of credentialing documentation. Maintains credentialing databases and processes applications for initial appointment and reappointment. Collaborates with various departments to facilitate the credentialing process and ensure compliance with regulatory standards. Utilizes independent judgment and initiative to complete projects. Reviews and screens initial credentialing applications for completeness. Conducts research and verification of licensure, education, training, past employment, affiliations, sanctions, and criminal history for initial applications. Verifies applicant data using primary source verification. Reviews reappointment applications for completeness and ensures the Medical Staff reappointment process is comprehensive and well-organized within the mandated 2-year timeframe. Researches all adverse actions and malpractice claims. Reviews provider activity data against privilege criteria to ensure qualification and competency for requested delineation of privileges. Monitors files to ensure completeness and accuracy, reviewing all documentation for compliance with quality standards, accreditation requirements, and relevant policies. Maintains credentialing database accurately and keeps updated information on all office interactions and correspondence. Disseminates file information strictly following Medical Staff Bylaws, Policy Manual, and accrediting/certifying standards. Manages all activities of the Medical Staff Credentials & Governance Management Committee. Works effectively with the Committee to maintain current credentialing procedures and approval processes. Other duties as assigned.Knowledge, Skills, and Abilities:

  • Strong computer skills, including experience with Microsoft Office Suite and database management
  • Knowledge of clinical/medical terminology

Education:

  • Associate [Required]
  • Bachelor's [Preferred]

Field of Study:

  • in Medical Services Management

Work Experience:

  • 2+ years credentialing/medical staff related experience [Preferred]

Additional Information:

  • An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement:- Associates degree and 0+ years of experience OR - High School Grad or Equivalent and 2+ years of credentialing/medical staff related experience

Licenses and Certifications:

  • Certified Provider Credentialing Specialist (CPCS[Preferred]
  • Certified Professional Medical Staff Management (CPMSM[Preferred]

Physical Requirements: (Please click the link below to view work requirements

Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$21.80 - $40.55

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

About the Company

A

AdventHealth