Description
General Summary of Position
Provides day-to-day management of Medical Staff Services department to ensure compliance with medical staff Bylaws, State, Federal, regulatory agencies. Essential involvement in the discussion, recommendations, and action of the Credentials Committee, Medical Executive Committee, and the Quality Safety PA Committee of the Board. Provides support of the medical staff accreditation readiness and survey process as it relates to The Joint Commission and/or National Committee for Quality Assurance, and Department of Health visits. Ensures the credentialing/privileging process complies with organizational as well as an accrediting agency, Federal, and State regulatory standards. Responsible for the audit and compliance of all credentialing files, which includes management of credentialing information, coordination of facility correspondence, and interaction with practitioners and MSH CVO and MedStar Family Choice associates. Responsible for the management of facility-specific data within the credentialing database.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- Bachelor's degree in related field required
Experience
- 3-4 years Experience in credentialing and/or medical staff services management. equivalent experience in areas related to regulatory, quality, risk management and compliance will be also be considered required and
Licenses and Certifications
- Certified Provider Credentialing Specialist (CPCS) within 1 Year required or
- CPMSM - Certified Professional Medical Services Management within 1 Year required and
- Other related certification, such as Certified Professional Healthcare Quality (CPHQ), Registered Health Information Administrator (RHIA), Certified Professional in Healthcare Risk Management (CPHRM), or Certified Professional Compliance Office (CPCO) may be considered equivalent upon initial hire required
Knowledge, Skills, and Abilities
- Proven problem-solving skills and ability to exercise independent judgment.
- Business acumen and leadership skills.
- Strong verbal and written communication skills with the ability to effectively interact with all levels of management, internal departments, and external agencies.
- Working knowledge of various computer software applications.
This position has a hiring range of $63,793 - $107,411
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