Medical Staff Credentialing Coordinator

PRIMARY FUNCTION:: To oversee the credentialing and re-credentialing of healthcare providers. This role ensures that all medical staff meet regulatory, accreditation, and healthcare standards. ORGANIZATIONAL RELATIONSHIP: The Credentialing Coordinator reports directly to Director of Quality. The Credentialing Coordinator also works closely with the entire Medical Staff, Department Managers, and all other employees of the hospital. RESPONSIBILITIES AND ACCOUNT ABILITIES: Maintains confidential credential files on all members of the medical staff, including current staff status, current licensure and other certifications and current clinical privileges in accordance with JCAHO, HCFA and state regulations. Manages and maintains provider credentialing and re-credentialing processes. Coordinates the credentialing appointment and reappointment processes and obtains necessary data for each applicant. Maintains accurate and up-to-date credentialing records and databases. Communicate with providers to obtain necessary documentation. Prepare and submit credentialing applications and supporting materials. Monitor expiring credentials and facilitate timely renewals. Resolve credentialing discrepancies and respond to inquiries. Coordinate internal and external audits related to credentialing. Stay informed about changes in healthcare laws and credentialing standards. Responsible for attendance at medical staff committee meetings. Collects annual active medical staff dues. JOB SKILLS AND KNOWLEDGE: High School diploma or equivalent. Certified Provider Credentialing Specialist (CPCS) certification (preferred) At least 2 years of experience in medical credentialing in a healthcare facility Experience with credentialing software systems Strong understanding of Joint Commission and other regulatory standards Excellent organizational and communication skills Ability to manage multiple tasks and meet deadlines Equal Employment Opportunity Statement It is the policy of Bayou Bend Health System to provide equal opportunity to all employees and applicants without regard to race, color, religion, national origin, sex, age, disability, or any other regard as required by law.

This policy relates to recruitment, employment, placement, layoffs and recall, promotion/demotion, discipline, transfer, termination, rates of pay and/or all other forms of compensation, training and development, use of facilities, and participation in hospital sponsored activities. Drug Testing Bayou Bend Health System is an alcohol and drug free workplace. As a condition of employment all candidates must undergo and pass a post-offer drug screen. Failure to participate in the mandatory drug screen will void all offers of employment.