Medical Staff Coordinator FT 5862

Department: Quality Performance - 01.8470

Location:      Mineral Wells, TX


Under the supervision of CEO, the Credentialing Coordinator is responsible for coordination of operational aspects of their respective entity Credentialing office as well as any administrative work in coordinating the medical staff credentialing function. Assignments are planned and executed with considerable independence in compliance with established policies and procedures, bylaws, regulations and laws.


Duties and Responsibilities of this Level

Assist in the organizing and directing of a comprehensive and specialized credentialing program to assure continued accreditation by the Joint Commission and other regulatory organizations.

Interpret, explain and follow all regulatory guidelines, including medical staff bylaws, fair hearing plan, rules and regulations and polices.

Maintain systems to identify (and disseminate to others) medical staff members and their clinical privileges; prepare and maintain other related records and reports. Responsible for the accuracy and integrity of the credentialing and privileging database system and for data entry performed in the medical staff office.

After receipt of application/reappointment application, oversees the completion of the credentialing process for medical, professional, and allied health staff and granting of clinical privileges.

Responsible for coordinating, monitoring and maintaining the credentialing and re-credentialing process. For reappointment applications, this includes gathering of additional data for incorporation into hospital-specific processes (ie., QI elements) and evaluation/analysis of confidential healthcare provider credentials for the initial appointment and reappointment processes prior to presentation for Credentials Committee review.

Works with medical staff leadership and hospital clinical staff for the approval and ongoing review of credentialed practitioners.

Monitor and revise credentialing and privileging forms as needed. Ensure maintenance of medical staff and allied health staff files.

Schedules and supports (prepares agenda, attends and prepares minutes) the Credentials Committee. Provides support to the Credentials Committee chair as needed. May participate on other Hospital committees.

Communicate medical staff information to appropriate departments.

Demonstrate effective leadership skills and coordination of intra- department activities and inter-department integration. Assure the ongoing development and implementation of policies and procedures that guide and support the provision of services.

May develop and facilitate the medical staff orientation, as well as other on-boarding activities.

Prepares credentialing/re-credntialing list for Board approval.

Perform other related duties incidental to the work described herein.


Required Qualifications at this Level


High School diploma



Three years of experience in a credentialing role.


Degrees, Licensure, and/or Certification:

Certification by NAMSS (CPMSM or CPCS) strongly preferred or able to sit for exam within one year of hire.







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