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Role Description

Under the supervision of the Hospital Manager of Medical Staff Services/DUHS CVO, the Medical Staff Services Coordinator is responsible for coordination of aspects of DUHS Medical Staff Services office by providing essential verification and quality control functions to support DUHS's goals for credentialing and privileging health care providers while ensuring adherence to legal, regulatory, and delegated requirements.

• Organizing and directing a comprehensive and specialized credentialing program to assure continued accreditation compliance by the Joint Commission, NCQA, and AAAHC.
• Interpretation, explanation and following all regulatory guidelines, including medical staff bylaws, fair hearing plan, rules and regulations and policies.
• Maintaining accuracy in the Credentialing database to identify medical staff members and their clinical privileges; prepares and maintains other related records and reports.
• Receives application/reappointment application from the CVO, oversees the completion of the credentialing process for medical, professional, and advanced practice professional staff.
• Coordinating, monitoring and maintaining the credentialing and re-credentialing process.
• Works with medical staff leadership and hospital clinical staff for the approval and ongoing review of credentialed practitioners.
• Monitoring and revising credentialing and privileging/scope of practice forms as needed.
• Scheduling and supporting the Credentials Committee; prepares agenda, attends and prepares minutes.
• Communicating medical staff information to appropriate departments; including approval notices to the provider, and other entities.
• Demonstrates effective leadership skills and coordination of intra-department activities and inter-department integration.
• May develop and facilitate the medical staff orientation, as well as other onboarding activities.
• Perform other related duties incidental to the work described herein.

Qualifications

• Work requires analytical, communications and organizational skills generally acquired through completion of a bachelor's degree program.
• In lieu of bachelor's degree, four years relevant experience in Managed Care or Medical Staff Credentialing/Privileging.
• One year of experience in a Medical Staff/Managed Care credentialing office.
• Certification by NAMSS (CPMSM or CPCS) strongly preferred.

Company Description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.