• Job Description

  Req#: 88500
  Overview
  
  
  Medical Staff Coordinator, Credentialing CVO, Full-Time, Days
  Lovelace Shared Services , organizational support departments for all Lovelace facilities including Coding, Finance, Health Information Management, Revenue Cycle, Marketing, and the Resource Team. We are dedicated to exceeding our customers' expectations in every way.
  
  Responsibilities
  
  
  Job Duties
  Under limited supervision, the Medical Staff Credentialing Coordinator serves as an essential link and resource between senior management and medical staff to coordinate the operational processes and ongoing credentialing, privileging, and medical staff governance functions of the Medical Staff Office. Responsible for review, analysis and follow up of credentialing and privileging applications, maintaining strict confidentiality and ensuring compliance with organizational policies and accrediting and regulatory agencies.
  Essential Functions
  • Establishes, implements, and ensures that Medical Staff operations practices and procedures are in accordance with DNV and other regulatory agencies and hospital policies.
  • Coordinates process for incoming and outgoing providers (Physician and Advance Practice Providers (APPs)
  • Coordinates receipt of credentialing and privileging applications following processing and primary source verification by the Credentialing Verification Office (CVO); performs review and analysis, identification and follow up of "red flag" items; prepares files for review and recommendation by the medical staff.
  • Assists in coordination, tracking and monitoring of the OPPE and FPPE process ensuring compliance with regulatory standards and Medical Staff policies.
  • Analyzes OPPE and FPPE data, as appropriate, and coordinates follow-up with Director and physician leaders.
  • Organizes and maintains provider files and records in accordance with established principles of legal documentation and confidentiality.
  • Liaison between senior hospital executives and medical leaders to promote effective communication and foster collaborative relationships.
  • Manages the reappointment process, notifies managers when data is needed.
  • Coordinates ongoing provider processes including, but not limited to: licensure renewals, evaluations, oversight of medical staff membership, privilege compliance, and access oversight to all platforms across the Lovelace Health System; provider performance evaluations, compliance with regulatory and accreditation standards and annual reporting requirements; internal and external database management.
  • Takes ownership of understanding the Medical Staff Bylaws and advises providers, management, and administrators on compliance issues as appropriate.
  • Participates in orientation programs for Medical Staff Officers, department and committee chairpersons regarding duties to assist them in performing their functions.
  • Participates in orientation programs for residents and onboarding, regarding duties to assist them in performing their functions.
  • Schedules, prepares, and helps lead medical staff meetings such as but not limited to: Credentialing Committee, Medical Executive Committee and Peer Review Committee. Maintains a master calendar for all medical staff meetings and proper notification to all hospital service line departments of such meetings, taking and coordinating all meeting minutes, policies, forms, and participation that is reported up to MEC and Governing Board.
  • Provides clerical oversight related to the maintenance and retrieval of information on privileged medical staff.
  • Manages requirements for reporting federal and state mandated information and established systems to achieve compliance with the state licensure agencies and National Practitioner Data Bank.
  • Monitor and request access through Service Now, including account expirations and troubleshooting, as well as requesting Net Learning Modules be assigned.
  • Provides other administrative support services and duties as may be requested by hospital administration, the Chief of Staff, Chief Medical Officer, and other hospital service line directors.
  • Communicates and listens effectively with internal and external customers; effectively understands instructions and shares knowledge.
  • Cooperates and interacts with supervisors, peers, other departments, and all customer groups demonstrating our commitment to “service”.
  
  Qualifications
  
  
  Education/Experience/Abilities
  • Minimum: Associates Degree in Business Admin. or equivalent

  • Desired: Bachelor’s Degree; CPCS or CMSC Certification.
  • 3 years’ experience preferred
  • Strong organizational skills, word processing skills; Database and Project management; Spreadsheet applications knowledge
  • Superior interpersonal and communication skills; both orally and in writing with all levels of the organization
  • Knowledge of medical staff affairs operational processes
  • Knowledge of medical credentialing and privileging procedures and standards
  • Knowledge of related accreditation and certification requirements
  • Knowledge of medical staff policies, regulations, and bylaws and the legal environment within which they operate
  • Working knowledge of clinical and/or hospital operations and procedures
  • Ability to use independent judgment and to manage and impart confidential information
  • Knowledge of clinical privilege criteria development
  • Ability to analyze, interpret, and draw inferences from research findings, and prepare reports
  • Ability to make administrative/procedural decisions and judgments
  • Knowledge of project management principles, practices, techniques, and tools
  • Database management skills including query and report generation
  • Requires excellent time management and organizational skills in order to handle multiple projects simultaneously

• About the company

  Lovelace Health System

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