UPMC Medical Staff Coordinator in Pittsburgh, Pennsylvania
Are you organized and detail-oriented? Do you have great time management? This may be the position for you! UPMC Presbyterian is currently hiring a Medical Staff Coordinator. This individual will coordinate the credentialing process for initial appointment and reappointment for the medical and allied health professional staff, manage the compliance to ensure all individuals with clinical privileges provide services within the scope of their training, licensure and individual clinical privileges granted.
Up for the challenge? Apply today!!
Assist with the coordination of Medical Staff social activities.
Adhere to all policies and procedures regarding mandated queries and reporting mechanisms and monitors, on an on-going basis, the financial account with the data bank to ensure compliance and accuracy.
Adhere to departmental time frames for file completion.
Answer phones/screen visitors.
Call outside repair services as necessary.
Closely monitor information collection; cognitive analysis of information received; evaluate adequacy and quality of information.
Compare psv, curriculum vitae and credentialing information form.
Compile and create practitioner files including all pertinent information in accordance with departmental policies.
Complete and track work order requests.
Coordinate and facilitate both the informal and formal credentialing peer review/recommendation process per established policies and procedures.
Coordinate office maintenance as required.
Coordinate the credentialing process for initial appointment and reappointment for the medical and allied health professional staff.
Create physician profile for quick reference by medical staff leadership.
Critically review primary source verification (psv) scanned documents to determine any incorrect, omitted or discrepancies in data entry and psv requests.
Develop and maintain working relationships with chiefs, chairman, nursing staff, ancillary departments, etc. to proactively provide information regarding practitioner privileges or scope of practice and credentialing actions.
Ensure all individuals with clinical privileges provide services within the scope of their training, licensure and individual clinical privileges granted.
Ensure complete and accurate credentialing information is provided to chiefs and chairpersons to enable them to make informed decisions regarding clinical privilege delineation.
Ensure data is entered into facility areas of credentialing system following board approved credentialing actions.
Ensure sufficient quantities of supplies are available.
Forward and track complete files to Division Chiefs and Department Chairmen for approval.
Forward appropriate individuals and callers to Director as required.
Forward approved files to credentials Committee for review and approval.
Identify any issues in file red flags requiring further review.
Immediately report to Director any problems noted with applicants' credentials as identified by principles involved in the information collection process.
Implement process for re-credentialing of physicians and allied health professionals to the medical staff to adhere to regulatory standards.
Implements process for reappointing physicians to the medical staff to adhering to the Bylaws and Credentialing Policy to regulatory standards. Maintains report of physicians due for reappointment to ensure timeframe does not exceed standards (4 months prior to physician expiration date). Print and compare current granted privileges with privileges requested to determine any discrepancies. Clarify with practitioner. Print volume and quality data to ensure data provided meets volume criteria requirements and if any additional educational certificates/psv or certifications such as ACLS or Fluoroscopy are required. Follow Late Career Practitioner Policy to ensure additional competency and health assessments are completed on physicians 70 and older. Process Leave-of-Absence requests. Process resignations. Expired Documents - monitoring and obtaining expired documents for credentialed practitioners. Provides support for Vascular Oversite Committee for committee actions.
Inform CVO of incorrect data entry and/or missing psv.
Initiate any additional psv required per established policies and procedures.
Inventory and order departmental supplies.
Maintain Medical Staff Conference Room Calendar - data enter meetings into centralized calendar and prints hard copy for door.
Maintain a working knowledge of the Hospital Bylaws, General Rules and Regulations, Medical Staff Bylaws, General Rules and Regulations and Department Rules and Regulations.
Maintain and coordinate facility-specific data entry for physician database to reflect credentialing actions.
Maintain close communication and develop working relationships with the Centralized Verification Office, department enrollment specialists, medical staff officers, department chairmen and committee chairmen to ensure expeditious flow of recommendations for timely credentialing through the medical staff committee and Board review and approval process.
Maintain credentialing schedules and status reports for practitioners in the credentialing process.
Maintain knowledge of latest recommendations for the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), National Commission on Quality Assurance (NCQA) the State Medical Society, and other state requirements particularly with reference to accreditation standards.
Obtain any additional information requested.
Obtain quantitative and qualitative data for practitioners in the credentialing process either from applicant (initial appointments), internal databases (reappointments - Impromptu/Corporate Database) or from practitioner's primary facility.
Prepare and disseminate invitations, track responses, create seating arrangements, for review and approval, select and retain entertainment, purchase gifts and prizes, and checking-in invited guests at events as necessary.
Primary responsibility for performing the mandated queries for practitioners in the credentialing process (initial and reappointments) with the National Practitioner Data Bank.
Proactively obtain supporting documentation to support requests for privileges by developing contacts with other facilities and medical leaders.
Provide informational emails/mailings to facility departments information updates regarding approved credentialing actions.
Provide support to the Medical Staff Officers, Committee Chairmen and members, and other healthcare professionals in the development of mechanisms to assess physician performance, identify potential risks, and document disciplinary action throughout the credentialing process - initial appointment and reappointment.
Pursue additional information independently, if necessary, for effective and comprehensive peer review decision-making.
Review and correct, if applicable, data entered by the CVO. Notify CVO of discrepancies or errors.
Upon receipt of completed hospital-specific packets, initiates data collection and compilation from Centralized Verification Office (CVO).
Validate data monthly to assure accuracy.
Associates or B.S. degree in Business or Healthcare Administration is preferred; however,three years experience may be substituted for a degree.
Direct experience in Medical Staff Services preferred. Licensure, Certifications, and Clearances: CPMSM (Certified Professional Medical Services Management) or Certified Provider Credentialing Specialist (CPCS) Certification by the National Association for Medical Staff Services preferred.
Act 34 Criminal Clearance
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities REQNUMBER: 723739