Medical Staff Credentialing Coordinator-HSO Medical Staff Services-Mount Sinai Hospital-Remote-Full Time-Days

Responsibilities

• Coordinates the application and reapplication process for all practitioners who are seeking to be granted membership and or clinical privileges at MSHS, including but not limited to: verifying all relevant information via the primary source; reviewing and analyzing potential issues and concerns; and preparing files for routing to the appropriate medical staff leaders, committees and the governing body.
• Acts as customer service liaison coordinating communications between the applicant, human resources, and the clinical department as it relates to the credentialing process.
• Evaluates applicants credentials in accordance to credentialing and privileging policies in order to ensure compliance with medical staff bylaws and accrediting agencies (e.g., The Joint Commission, CMS, NCQA, etc.).
• Ensures all credentialing deadlines are clearly communicated, credentials are maintained for all providers in a timely manner and ensures full compliance with the medical staff credentialing policies and procedures.
• Maintains all credentialing related databases in accordance to medical staff policies and procedures.
• Affords support for the tracking of quality and performance improvement data for credentialed practitioners.
• Supports all other functions of the medical staff office and performs other duties as assigned by department leadership.

Qualifications

• Bachelor's Degree in a health care related field or equivalent work experience.
• Minimum of 2 years hospital-based credentialing and privileging experience is required.
• Experience in an academic medical center, multi-entity health system and/or a CVO is strongly preferred.
• NAMSS Certified Provider Credentialing Specialist (CPCS), Required or must obtain within one year of hire.