Sr 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 Sr. Medical Staff Coordinator serves as lead of the Operations or Support Services team, work level expert, coordinating administrative functions of the Medical Staff Professional Services area ensuring that all credentialing and accreditation processes are completed for Parkland and affiliated institutions and only qualified and competent physicians and non-physician practitioners are appointed and reappointed to the hospital staff while assuring regulatory compliance of policies, procedures, bylaws and rules and regulations. Conducts audits, ongoing reviews, and monthly meeting organization. Analyze and prepare presentations and reports regarding practitioner/provider credentialing and/or performance improvement and data is clear, concise, and structured. Creating and maintaining Medical Staff Professional Services (MSPS) policies and procedures. Plan, direct or coordinate activities to ensure compliance with regulatory standards including Centers for Medicaid & Medicare (CMS), Health & Human Services (HHSC), Texas Administrative Code (TAC), and the Joint commission (TJC) MS accreditation standards.

Minimum Specifications

Education

• Bachelor Degree

Experience

• Five (5) years of Medical Staff/Credentialing experience.

Equivalent Education and/or Experience

• A combination of education and experience may substitute for required minimum experience.

Certification/Registration/Licensure

• Must be certified by the National Association Medical Staff Services (NAMSS) as a Certified Professional in Medical Services Management (CPMSM) or a Certified Provider Credentialing Specialist (CPCS), within two years of employment.

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 expert knowledge of hospital accreditation, medical/allied staff credentialing, privileging, appointment and licensure requirements.
• Must have good organizational skills.
• Must be familiar with personal computer, word processing, data processing and spreadsheet usage.
• Familiarity with The Joint Commission (TJC) standards as it relates to the Medical Staff and credentialing
• Proficiency with MDSTAFF or similar credentialing software
• Proficiency in Adobe Pro and Microsoft Outlook.
• Experience using SharePoint is preferred.
• Strong interpersonal, critical thinking and problem solving and relationship building skills with 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 detail work efficiently and with a high degree of accuracy.
• Clear and professional verbal and written communication skills with the ability to clearly explain complex processes.
• 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 train staff on various credentialing processes and data base management
• Ability to educate and inspire top-quality work product from remote environment.
• Must be familiar with Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) processes.
• Understands impact of regulatory developments and compliance guidelines on operational tasks and processes may be complex in nature

Responsibilities

1. Conducts audits, ongoing reviews, and monthly meeting organization.
2. Analyze and prepare presentations and reports regarding practitioner/provider credentialing and/or performance improvement and data is clear, concise, and structured.
3. Audits adherence to policies and procedures, identifies areas requiring clarification or emphasis.
4. Perform the duties as the acting MS Regulatory and Accreditation Chapter. (MS Chapter)
5. Champion and MSPS's primary contact person to the Regulatory and Accreditation Department.
6. Attend internal monthly Survey Readiness Committee meetings, when applicable.
7. Coordinate the participation and preparation of the MS Chapter's Stakeholders.
8. Perform or coordinate internal audits, gap analysis and processing mapping on procedures, policies, and other regulatory compliance related items to improve MSPS's and the MS Chapter's survey readiness.
9. Assist in the creation of a corrective action plan to address deficiencies found during audits. MSPS Tracers, MS regulatory and accreditation standards and reviews and survey.
10. Biannually perform a formal compliance review of the MS regulatory and accreditation standards to assess the overall survey readiness using the TJC Tracer AMP website.
11. Acts in advisory capacity to the MSPS Director, Managers, GME, Physician leadership and other stakeholder to ensure compliance review of the MS regulatory and accreditation standards.
12. Serves as an expert resource in the preparation, analysis, and processing of credentialing documents for hospital medical staff/allied healthcare staff privileges applications and reapplication to assure that qualified and competent physicians and practitioners are appointed and reappointed to the hospital staff, while providing optimal services to internal and external customers.
13. Maintains open communication serving as an expert resource to practitioners, medical boards, etc. for issues of sensitivity, problem solving, or confidentiality.
14. Maintains and updates data base/master roster of medical/allied health staffs by specialty appointment category, status and appointment/reappointment dates to provide current information for decision making and research purposes.
15. Generates reports, demographics, statistical information, appointments, staff roster, etc. to satisfy multi-external agency requests and various departmental requests that support the mission, goals and objectives of the hospital and Parkland.
16. Attends the medical staff committee meetings as assigned by leader 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.
17. Closely monitors information collection, evaluates adequacy of quality data and information; request additional information if necessary for effective and comprehensive peer review decision-making.
18. Maintains a strict degree of confidentiality in all areas relating to provider credentials, status and provider personal information.
19. Communicates with leadership regarding any or all credentialing delays or issues.
20. Conducts training sessions for all incoming staff on processes, procedures and database.
21. Acts as a mentor for Medical Staff Coordinators and credentialing Specialists.

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.