Medical Staff Coordinator

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion.

Primary Purpose

The Medical Staff Coordinator Coordinates administrative support services for the Medical Staff and Non-Physician Clinical Providers and assures that all credentialing and accreditation processes are completed, and that only qualified and competent physicians and non-physician practitioners are appointed and reappointed to the hospital staff. Supports the Credentialing program that implements federal, state and local regulatory and TJC/NCQA accreditation requirements. Participates in audits, ongoing reviews and monthly committee preparation.

Minimum Specifications

Education

• High school diploma or equivalent.
• Some college preferred
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Experience

• Must have three years of Medical Staff/Credentialing/Hospital experience.
• Experience with TSCA, TJC, NCQA accreditation, National Practitioner Data Bank (NPDB).
• Experience with federal, state and/or local credentialing statutes.

Skills or Special Abilities

• Must have excellent verbal and written communication skills and be able to communicate effectively with Medical Staff and hospital personnel.
• Must have a working knowledge of hospital accreditation, medical/allied staff credentialing, privileging, appointment, and licensure requirements.
• Proficiency in Adobe Pro, DocuSign and Microsoft Outlook.
• Experience using SharePoint is preferred.
• Proficiency with MDSTAFF or similar credentialing software
• Strong interpersonal, critical thinking and problem-solving and relationship-building skills with a positive attitude and demeanor.
• Ability to take initiative to research and form conclusions independently.
• Ability to manage multiple deadlines and time constraints in a fast-paced environment.
• Demonstrated ability to collaborate effectively and work as part of a team including internal and external stakeholders.
• Ability to perform detailed work efficiently and with a high degree of accuracy.
• Skilled in interpreting, analyzing, and providing recommendations regarding data accuracy and data collection needs and processes.
• Excellent planning, organization, time management, and documentation skills.
• Ability to adapt behavior in response to new information or changing circumstances.
• Work and collaborate effectively in unstructured or dynamic environments and adjust the original objectives or plan to allow for the best possible results.
• Ability to produce a top-quality work product in a remote environment.

Responsibilities

1. Prepares, analyzes, and processes credentialing, privileging and enrollment delegation documents for hospital medical staff and non-physician clinical provider initial application and reapplication.
2. Assure that qualified and competent practitioners are appointed and reappointed to the hospital staff while providing optimal services to the internal and external customers.
3. Uniformly apply clearly defined credentialing or privileging processes to all practitioners/providers.
4. Evaluate and analyze credentialing/privileging requests and evidence of education, training, and experience to determine eligibility for requested privileges, membership, and/or plan participation.
5. Processes applications through direct source verifications, i.e. National Practitioner Data Bank and ABMS, AOA, etc., queries to assure information provided and/or requested is accurate and complete.
6. Maintains open communication to be a resource to practitioners, physician leadership, legal and regulatory stakeholders, etc. for issues of sensitivity, problem-solving, or confidentiality.
7. Maintains and updates confidential files on all medical staff members regarding their licensure, board certification, a, committee participation, liability insurance, etc. while maintaining a positive working relationship with all internal and external contacts.
8. Generates reports, demographics, statistical information, appointments, staff roster, etc. to satisfy multi-external agency requests and various departmental requests that support the missions, goals, and objectives of the hospital and Parkland. Attends the medical staff committee meetings as assigned by the director/manager and prepares the agenda for each committee meeting for review and approval by the committee chair, records committee minutes; initiates follow-up action as dictated by the committee minutes
9. Closely monitors information collection, evaluates adequately quality data and information, requests additional information if necessary for effective and comprehensive peer review decision-making.
10. Prepares applications for internal and external audits
11. Maintains oversight of the practitioner data. Identifies opportunities for improvement through the audit process and provides recommendations.
12. Maintains a strict degree of confidentiality in all areas relating to provider credentials, status, and provider personal information.
13. Familiar with all credentialing department policies and procedures.
14. Other duties as assigned

Job Accountabilities

1. Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.
2. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
3. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees’ wellness, Parkland Health is a tobacco and smoke-free campus.