Credentialing Coordinator – Medical Staff Affairs – St. Rita's Medical Center

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Scheduled Weekly Hours:

Work Shift:

Summary of Primary Function

Under the direction of the Manager Medical Staff Services the Credentialing Coordinator is a resource regarding practitioner competency (credentialing and privileging) accreditation regulatory and internal compliance legal principles of credentialing and implementation and development of credentialing and privileging systems. Organizes the development and implementation of a comprehensive and specialized credentialing and privileging program to assure continued Joint Commission/CMS standards.

Essential Functions:

• Responsible for all aspects of the initial application reappointment and privileging process for Medical and Allied Health (AHP) staff once the Credentialing Verification Organization has completed the Primary Source Verifications. Obtains provider-specific credentialing quality and privileging data and presents to the Medical Staff Leadership for action.
• Provides reports (from Medical and AHP staff data) to SRMC Administration Medical Staff leadership and Medical Center staff upon request.
• Assists in developing and maintaining credentialing and privileging forms and processes.
• Performs delegated credentialing initial and reappointment for all delegated credentialing arrangements.
• Prepares agenda minutes and correspondence for the Chairman of the Credentials Committee
• Prepares agenda minutes and correspondence for Division Chiefs of assigned Medical Staff meetings.
• Verifies and tracks certification expirations and updates the database as appropriate.
• Prepares and presents data for completion of Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) as it relates to the maintaining of privileging for the Medical and Allied Health staff. This data is presented to Medical Staff leadership for action.
• Maintains accurate database of all Medical and AHP staff members privileges and profile information.
• Prepares and facilitates provider orientations for the new non-employed providers.
• This document is not an exhaustive list of all responsibilities skills duties requirements or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor subject to reasonable accommodation.

Required Minimum Education:

High School Diploma or GED

Preferred Education:

2 Year/ Associates Degree

Licensure/Certification Required:

CPCS Certification or ability to gain CPCS within one year of eligibility.

Minimum Years and Type of Experience:

3 5 Years of office experience

Other Knowledge Skills and Abilities Required:

Medical terminology and advanced computer skills. Must possess sound critical thinking and acute attention to detail. Must be able to work with minimal supervision and possess excellent written and verbal communication skills. Working knowledge of Microsoft Office programs. Internet/intranet ability to access the internet and research relevant material as it relates to the current job.

Other Knowledge Skills and Abilities Preferred:

Working knowledge of healthcare and credentialing industry preferred.

Mercy Health is an equal opportunity employer.

As a Mercy Health associate youre part of a Misson that matters. We support your well-being personally and professionally. Our benefits are built to grow with you and meet your unique needs every step of the way.

What we offer
Competitive pay incentives referral bonuses and 403(b) with employer contributions (when eligible)
Medical dental vision prescription coverage HAS/FSA options life insurance mental health resources and discounts
Paid time off parental and FMLA leave short- and long-term disability backup care for children and elders
Tuition assistance professional development and continuing education support

Benefits may vary based on the market and employment status.

Department:

It is our policy to abide by all Federal and State laws as well as the requirements of 41 CFR 60-1.4(a) 60-300.5(a) and 60-741.5(a). Accordingly all applicants will receive consideration for employment without regard to race color national origin religion sex sexual orientation gender identity age genetic information or protected veteran status and will not be discriminated against on the basis of disability. If youd like to view a copy of the affirmative action plan or policy statement for Mercy Health Youngstown Ohio or Bon Secours Franklin Virginia; Petersburg Virginia; and Emporia Virginia which are Affirmative Action and Equal Opportunity Employer please email . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process please contact The Talent Acquisition Team at .