Medical Staff Credentialing Coordinator

General Summary:

Responsible for credentialing medical staff and health professional affiliates. Serves as an expert in Joint Commission standards liaison to Board Executive Staff and Medical Staff Leadership. Exercises independent judgment in credentialing duties and medical staff issues. Supports Frederick Healths mission and complies with the Frederick Health Standards of Behavior.

Essential Job Functions

Credentialing Management

• Independently manages assigned aspects of appointment and credentialing
• Processes applications according to policies bylaws and regulatory requirements

• Performs primary source verification and NPDB queries
• Reviews privilege sets for appropriateness
• Tracks provider proctoring requests
• Ensures data availability for OPPE FPPE and reappointment
• Communicates application status to applicants
• Resolves application issues independently
• Prepares files for committee review
• Coordinates with HR for employed providers
• Maintains organized credential files for regulatory inspections
• Cross-references OIG Exclusions database
• Initiates requests for criminal background check
• Updates expirables:
• Specialty Boards Certificates Licenses Malpractice Insurance
• Manage all records in CredentialStream
• CredentialStream report refinement troubleshooting and optimization

Medical Staff Coordination

• Maintains knowledge of Medical Staff Bylaws and hospital policies
• Attends and supports medical staff meetings
• Generates provider reports and distributes as required
• Reviews provider activity to ensure privilege requirements are met

Minimum Qualifications

Education & Experience

• Associates degree required

• 3 years of medical services experience
• CPCS is preferred and required within 1 year of hire

Skills & Abilities

• Advanced proficiency in MS Office (Word Excel PowerPoint Outlook)
• Knowledge of credentialing software (preferably CredentialStream)
• Strong interpersonal communication and problem-solving skills
• Ability to work independently and meet deadlines
• Excellent organizational skills to manage multiple tasks
• Data interpretation and report creation skills
• High level of confidentiality
• Medical terminology knowledge

Caring for you as you care for the CommUNITY
Frederick Health offers a comprehensive and affordable benefits package. Health Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your familys needs. Life insurance Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program.

Pay is based on experience skills and education. If position is part-time salary will be pro-rated based on scheduled hours. The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid if applicable.

Salary Range: $51000 - $70000

Required Experience:

Staff IC