Credentialing Coordinator

Job Duties

• Analyzes applications for appointment and reappointment.
• Identifies and incorporates DOH, HFAP, The Joint Commission, NCQA standards, and guidelines ensuring compliance by the Hospital, Staff Development Plan, and Credentials Verification Organization.
• Aids departmental Chairs/Physician in Chiefs, Division Chiefs, and Medical Directors in fulfilling respective roles in the credentialing process.
• Determines need and pursues follow-up of activity subsequent to meetings: Credentials, MEC, and Board of Trustees/Directors.
• Identifies issues and recommends for corrective action which may include modification of policies and procedures and/or Bylaws.
• Prepares for and participates in regulatory surveys and third party audits.
• Provides assistance in development and enhancement of the Medical Staff database.
• Provides assistance in the development of policies and procedures related to credentialing activities.

Minimum Qualifications

• High School Diploma/GED
• 3 years of experience in a medical staff office setting and/or insurance credentialing.
• Knowledge of The Joint Commission, NCQA, Pennsylvania Dept. of Health, and Federal standards guiding the principles of credentialing and privileging.

Preferred Qualifications

• Associate’s Degree in human resources or related field.
• CMSC - Certified Medical Staff Coordinator - State of Pennsylvania within 3 Years.

Physical Demands

• Lift and carry 7 lbs.
• Continuous sitting >67%
• Frequent keyboard use/repetitive motion
• Frequent fine motor activity/wrist position deviation

Job Description

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.