MD Anderson Cancer Center Credentialing Coordinator - Data Integrity, Medical Staff Credentialing Office in Houston, Texas
The Credentialing Coordinator in the Medical Staff Credentialing Office is responsible for all MD Anderson medical staff initial credentialing and privileging activities to assure compliance with MD Anderson Cancer Center, The University of Texas System, Joint Commission, Centers for Medicare & Medicaid Services, and National Committee for Quality Assurance standards and other regulatory requirements.
The University of Texas MD Anderson Cancer Center in Houston is one of the world's most respected centers focused on cancer patient care, research, education and prevention. It was named the nation's No. 1 hospital for cancer care in U.S. News & World Report's 2017 rankings. It is one of only 49 comprehensive cancer centers designated by the National Cancer Institute.
The ideal candidate will have Echo Credentialing Software experience and proficiency. Experience in a medical staff services credentialing position in a hospital setting is strongly preferred.
The ideal candidate will be able to prioritize and work in a high volume, fast-paced setting. The candidate must be able to function independently and possess excellent critical and analytical thinking skills. The ability to write clear, concise and accurate communication to applicants is a must.
This position will be involved in data integrity, data management and auditing of documents and processes in the Medical Staff & Credentialing Office. Experience with meeting maintenance and minutes is a plus. CPCS and/or CPMSM certifications are preferred. Experience or exposure to provider enrollment is desired.
Minimum: $38,800 Midpoint: $48,500 Maximum: $58,200
Data Management and Auditing
Responsible for Managing the integrity of the data existing in the credentialing software, ensure documents are appropriately uploaded and verifications of all required elements are appropriately addressed in accordance with regulatory requirements. Generates requested reports, management of existing data and validation. Reviews reports to ensure integrity of data and escalating any noted concerns. This includes involvement in all upgrade activities, implementation of additional modules and assistance with education of newly automated processes. Responsible for timely and accurate data entry and maintenance of provider records in the credentialing database. Researches and resolves questions and discrepancies, and ensures that information in credentialing database is accurate and properly configured to support operations. Supports internal auditing process to ensure data accuracy and integrity.
Processes Applications and requests for additional privileges.
Responsible for the credentialing process of initial applications, recredentialing and additional privileges for medical staff membership/clinical privileges according to institutional and regulatory standards by conducting primary source verification and outside agency queries, during high volume times. Initiates/organizes application packet for clinical privileges/staff membership to include cover letter, general instructions, TDI application and clinical delineation of privileges form. Communicates in a professional, clear, concise manner with applicants and inter-institutional representatives including Institutional and Organizational Leaders without the need of continual oversight. Demonstrates the ability to problem-solve and escalate issues when necessary to the appropriate level. This requires a high level of competency with Microsoft Word and Excel.
Serves as liaison to administrative support staff and leadership in the clinical departments for reporting if potential candidates for medical staff membership, recredentialing and additional privileges and other reports/profiles as they may be created and developed to meet organizational needs. Assists with the continued training and upgrading of processes to the department staff. May also require assisting in the training of departments and personnel within the institution.
Required: High school diploma or equivalent.
Preferred: Associates Degree or some college.
Required: Three years of office experience in a medical staff services credentialing position with working knowledge of credentialing/recredentialing process.
Preferred: Five years of experience in a hospital setting, in a medical staff services credentialing position with working knowledge of the credentialing/recredentialing process, including privileging. Experience with Echo Credentialing Software, or proficiency with another credentialing software system. Ability to prioritize and work in a high volume, fast paced setting with rapidly changing priorities. Proficiency in Microsoft Word and Excel. Working knowledge of Power Point.
Preferred: CPCS and/or CPMSM certification.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html