Medical Staff Specialist

Responsibilities

• Serves as a liaison between the medical staff, advanced practice professionals, legal counsel and administration regarding credentialing processes, interpretation and application of Joint Commission standards, medical/legal issues, state and federal guidelines and regulatory agency guidelines.
• Develops, manages and administers medical staff and advanced practice professional credentialing processes for hospital privileges.
• Collaborates with department chairs and chairman of the Credentials Committee to review applicants and privileges requested.
• Supports Chief Medical Office and Chief Hospital Executive in understanding credentialing applications, Medical Staff Bylaws and governance.
• Ensures compliance with Joint Commission standards, federal and state guidelines and regulatory agency guidelines.
• Aids in the administration of Physician Orientation/Onboarding for newly appointed Medical Staff appointees.
• Assists with developing and ensuring compliance with the Medical Staff Bylaws, Rules and Regulations and hospital policies.
• Reviews and screens highly sensitive credentialing documents.
• Verifies applicant information and ensures the application process is completed in a timely manner.
• Organizes and prepares meeting agendas and documents to be presented for Credentialing Committee and/or, Medical Executive Committee, and Medical Quality Committee (facility specific).
• Supports the Department Chairs, Credentials Chairman and Medical Staff President in medical staff functions, OPPE/FPPE, Bylaws and Rules and Regulations.
• Maintains provider privileges and serves as a resource for verification of privileges and affiliation.
• Maintains accurate and timely rosters of credentialed medical staff with board approval dates and resignation dates.
• Utilizes credentialing database and mainframe software programs.
• Accurately maintains the credentialing database.
• Ability to define problems, collect data, establish facts and draw valid conclusions.
• Maintains oversight of the practitioner data.
• Accurately tracks, reports and follows up on the status of credentialing applications.
• Maintains a strict degree of confidentiality in all areas related to provider credentials, status and provider personal information.
• Familiar with all credentialing department policies and procedures.
• Participates in miscellaneous audit projects throughout the year as required.
• Identifies ways to improve work, processes and improve customer satisfaction.
• Performs other duties as assigned.

Qualifications

• One to three years of Medical Staff/Credentialing experience.
• Knowledge of medical terminology.
• Knowledge of Joint Commission and NCQA standards and medical/legal requirements related to credentialing, peer review and compliance.
• High school diploma or GED required.
• Bachelor's degree preferred.
• Certification by the National Association of Medical Staff Services (NAMSS) as a Certified Professional in Medical Staff Services Management (CPMSM) or a Certified Provider Credentialing Specialist (CPCS) preferred.

About the Role

Join our team as a Medical Staff Specialist at the INTEGRIS Health Corporate Office, in Oklahoma City, OK. Get to Know Your Team INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives. Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more. Take your first step toward growing your career by joining us.

Benefits

INTEGRIS Health is an Equal Opportunity Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.