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The Coordinator is responsible for preparing and submitting credentialing applications and supporting documentation for the purpose of medical staff and allied health professional credentialing and health plan credentialing. The Coordinator follows up on the status of applications, tracking progress on all pending and completed work. The Coordinator manages their own duties and functions independently, maintaining a high quality for detail and timeliness.
ESSENTIAL FUNCTIONS OF POSITION
Serve as initial point of contact to address any critical or major issues regarding the medical staff.
Maintains knowledge of and provides consultation to the Medical Staff regarding credentialing, privileging, parliamentary process and disciplinary process, as well as peer review processes according to the medical staff bylaws, rules and regulations, hospital and medical staff policies, CMS, and state and other regulatory agencies.
Process confidential information assuring security and confidentiality.
Prioritize work assignments and complete duties within prescribed time frames.
Coordinate and manage monthly, quarterly and annual meetings of the medical staff, clinical departments and committees; track information and follow-up from meetings. Prepares agenda at least one week prior to meeting. Accurately documents minutes within 72 hours following meeting.
Assures the completeness and accuracy of the credentialing process and privileging delineation activities in accordance with the Bylaws (initial appointment FPPE, OPPE and reappointment) for medical staff and allied health practitioners. Fills requests for applications, receive and assemble applications, prepares credentialing correspondence, obtains primary source verifications, prepares biographical sketch, arranges interviews, arranges temporary privileges, prepares and distributes appointment letters, mails reappointment letters and delineation of privileges, obtains reference information from other hospitals, licensing boards, NPDB, assists Chief Medical Officer with review of applicant and peer review information.
Maintains physician credentialing files.
Generates appropriate forms and reports available from the medical staff database. Assures timely and appropriate review by the Chief Medical Officer at the conclusion of appointment period specified in the Bylaws.
Coordinate and communicate on-call payments.
Assist with special projects that may be required.
Participate as part of team to accomplish departmental goals.
Perform other duties as assigned.
REPORTING RELATIONSHIPS: Supervised by: Chief Medical Officer Supervision provided to: Medical Staff Secretary, Volunteer Library Assistant
PHYSICAL ENVIRONMENT/WORKING CONDITIONS
Typical health care environment. Routine stress due to multiple demands, shifting priorities. Little or no risk to exposure to bodily fluids, infectious waste or blood borne diseases. Employee will be instructed in the proper used of personal protective equipment and specific protocol if assigned to duties where there may be risk.
This job description identifies the general nature and level of work to be performed. It is not to be considered an exhaustive list of responsibilities, duties or skills required of an incumbent
Revised 2/5/25
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:
Education & Training: High school diploma or equivalency is required. Some college is preferred. Must have CPCS or CPOMSM certification or certification received within 12 months of hire. Work Orientation & Experience: Three (3) years’ previous experience in medical staff administration is required. Must have knowledge of credentialing, Joint Commission regulations, and state requirements. Must have knowledge of medical terminology. Skills & Abilities: Ability to: a) communicate effectively with medical staff and hospital personnel; b) adapt hours of availability to variable and changing needs of administration and the medical staff; c) computer/word processing skills; d) maintain confidentiality; e) exercise good judgment and f) demonstrate effective critical thinking and organizational skills, g) independent judgement and discretion, h) strong composition and interpersonal communication skills and i) ability to gather and coordinate required information under strict time lines required to meet credentialing requirements.
About Us:
In 1922, Hortense Kahn Eliasberg sought to open a home where children could safely recover from illness and surgery.
Thanks to her efforts, the Happy Hills Convalescent Home for Children opened later that year in Northwest Baltimore. It has since evolved into the Mt. Washington Pediatric Hospital, a leader in local pediatric care, and is proudly affiliated with the University of Maryland Medical System and Johns Hopkins Medicine.
Today, those who work at Mt. Washington Pediatric Hospital remain committed to the mission Hortense Kahn Eliasberg established so many years ago — improving the health and well-being of all children who are ill, injured or in need of help.
Jobs at MWPH:
Explore a career with one of the nation's leaders in pediatric care – Mt. Washington Pediatric Hospital. Our continued growth means that new opportunities are available every day.
Whether you're a medical practitioner, administrative support specialist, professional/management candidate or service professional, you'll find the career satisfaction you've been seeking in one of the most supportive and nurturing environments anywhere.
"I love it here. I truly think what makes us work toget...her is that family unity." - Sidney Williams, Authorization Specialist and Financial Counselor
Message From Our President:
Mt. Washington Pediatric Hospital's mission of caring for children with limited resources and many needs is truly inspiring. MWPH is mission-focused, and our staff is very passionate about children's health care needs. Here, you'll find a family-like environment that promotes a culture of caring for children, family and co-workers. This place will get into your heart.
Dr. Scott Klein
President and CEO