VCU Health System's Medical Director Administration is seeking a full timeCredentialing Coordinator. This person coordinates the appointment, reappointment and credentialing process for our medical and allied health staff at the VCU Health System Hospitals. This position includes the processing of applications, evaluating data for accuracy and completeness, monitoring receipt and follow up responses ensuring timely processing as well as participates in file auditing activities. Notifies Director of any adverse, incomplete or questionable data. Works independently and is able to assess a situation, consider alternatives and choose the appropriate course of action. Demonstrates sound organizational ability and effectively sets priorities. Must be able to maintain strict confidentiality and professional discretion. Ensures compliance with hospital bylaws, and with local, state and federal requirements. Provides assistance to the Director in development, plans, organization and control of the operation of the Medical Staff Office in order to meet the mission and goals of the hospital and the requirements of the Medical Staff Bylaws, JCAHO, NCQA Standards and other applicable federal, state and local regulatory and/or accrediting agencies. Attends medical staff committee meetings and carries out any associated tasks as directed. Provides, as requested, support services to medical staff officers, departments and chairs.
Expresses ideas and exchanges information clearly and concisely. Demonstrates the ability to prioritize work assignments effectively and efficiently within the scope of the employee's responsibility. Effective development of relationships with other members of the team (i.e. non-clinical personnel, etc.) Highly motivated individual with independent work habits. Organizational skills, proficiency in MS Office Access, Word and Excel, and numerous hospital databases with extreme attention to detail are critical indicators for success in this role. Ability to multi-task in stressful and limited time constrained environment. Must possess knowledge of local, federal and state laws and regulations and JCAHO standards related to position's chief objective and demonstrate aptitude for compliance with VCUHS policies, procedures, and customer service philosophy.
High School Diploma or equivalent
Minimum of three (3) years previous credentialing processing initial and reappointment applications for medical staff membership and clinical privileges and medical terminology experience
Previous experience using a personal computer and various applications, including credentialing software, Microsoft Office Access, Word and Excel
Associates or Bachelor's Degree in Business, Healthcare or closely related field
Five (5) years of previous experience in credentialing in a health care environment
Previous experience with the application of JCAHO and NCQA guidelines
Certified Professional in Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS)
At VCU Health System, our most important assets are not bricks and mortar; they are our team members … all 13,000+ of them. Our workforce is diverse, dedicated and talented. Our team members continue to earn local, regional and national awards and accolades, which is an indicator that they are happy and feel supported working here. And our culture of STAR Service focuses on our common purpose – “Our Caring Service Begins With Me.” – in the provision of the highest level of customer service, which encourages diversity and inclusion.
If you have been looking to take your career to the next level, we have been looking for you. We offer more than 400 work/life benefits including competitive pay, generous benefits, flexible work options, prepaid tuition, on-site child and elder care and much, much more.