Lead Coordinator, Medical Staff Services - Corporate Services Center
Mount Carmel Health System
March 14, 2018
Job ID: 00054997
Location: Columbus, Ohio
Schedule: Full time
Department: OH1HS_81002_000 Med Staff Affairs: Med Office
Expected Weekly Hours: 40
Shift: Day Shift
At Mount Carmel, we work to continuously inspire one another. Here, all are welcome. It is this culture of humility and compassion that sets Mount Carmel apart. We see the big picture and do the right thing. That means a dedication to the well-being our both our colleagues and the patients they serve.
Job Description Details:
The Lead Coordinator carries out all necessary functions in cooperation with the Manager, Medical Staff Services. Assists with the administration of credentialing compliance. Responsible for coordinating, monitoring and maintaining the credentialing and re-credentialing processes. Facilitates all aspects of credentialing, including initial appointment, reappointment, monitoring and privileging for medical staff and allied health practitioners. Administrative functions include primary source verification of credentialing applications, to include critical analysis of a provider's clinical competence through assessment of case logs, specific training, and proctoring forms. Serves as credentialing liaison with Mount Carmel joint ventures as well as other credentialing entities in the health system.
Prepares for and attend regulatory surveys as needed (i.e., ODH, Joint Commission, CMS, etc.)
Coordinates all functions of credentialing and/or privileging, including but not limited to, initial appointment, reappointment, additional privilege requests, category change requests, withdrawn privilege(s) requests, resignations, temporary/emergency privilege requests, etc.
Coordinates the Focused Professional Practice Evaluation (FPPE) process, including educational proctoring.
Coordinate special letters as needed to the applicants if eligibility criteria is not met, including, but not limited to waiver request, ID verification, etc.)
Oversees initial appointment and reappointment file peer review process, audit routine, and red flag files as needed.
Oversees coordinators process for obtaining procedural case logs/case log summaries to assess a provider's ability to obtain clinical privileges.
Advises Manager Department Chair, VPMA, and/or Credentials Committee Chair(s) of issues/concerns as appropriate or outstanding issues requiring intervention.
Data integrity: oversee the quality of information entered into computer databases and perform periodic audits. Update credentialing database and hospital database as appropriate.
Coordinates and participates in the development/revision of credentialing and privileging criteria (if applicable), including but not limited to, applications and appropriate forms and Delineation of Privilege (DOP) forms.
Provides training and re-training for credentialing coordinators including but not limited to application process, computer training, etc., as needed.
Attends monthly AHP and Medical Staff Credentials Committee meetings, pre-Board meetings, Delineation of Privilege revision meetings, recruitment, and other meetings as identified by manager.
All other duties as assigned
Education: Associates degree or a minimum of 5 years' experience in the credentialing field commensurate with the requirements outlined above.
Licensure / Certification: Certified Professional Credentialing Services (CPCS) and/or Certified Professional Medical Staff Services Management (CPMSM) certification preferred (National Association of Medical Staff Services);
Knowledge of medical terminology and external regulatory credentialing requirements (ODH, Joint Commission, CMS, NCQA, etc., preferred)
Ability to maintain confidential/sensitive department, physician, and AHP information, and to prioritize and adapt to the changing needs of department and MCHS.
Discovering opportunities, support and excellence â“ all while making a real difference in patients' lives â“ begins at Mount Carmel. Find a new beginning and advance your career with us.
Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, sexual orientation or physical ability.
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.