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Credentialing Coordinator II (Verification) - Centralized Credentialing Services

Cedars-Sinai Medical Center

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Posted: 16-Apr-23

Location: Los Angeles, California

Type: Full-time

Salary: Open

Internal Number: HRC1170448

Join the Cedars-Sinai Centralized Credentialing Services Office as a Credentialing Coordinator II!

When the work we do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and dedication pulses through Cedars-Sinai. It's just one of the many reasons we’ve achieved our fifth-consecutive Magnet designation for nursing excellence. From working with a team of premier healthcare professionals to using state-of-the-art facilities, you’ll have everything you need to do something incredible—for yourself, and for others. Cedars-Sinai offers an outstanding benefit package and competitive salaries. Discover why U.S. News & World Report has named us one of America’s Best Hospitals!

Under the direction of the Centralized Credentialing Services Manager, the Credentials Coordinator II works cooperatively to ensure the seamless and timely flow of credentialing-related information in order to meet appointment and reappointment deadlines and qualitative requirements. Participates in effective day-to-day operations of the credentialing functions and provide recommendations to enhance productivity to meet targeted service levels, turnaround times, and satisfaction/quality levels. Assists in research and analysis of credentials files to complete SBARs for use by senior management and leadership for the Credentials Analysts. Maintains the integrity of the provider database for accurate display of information and accurate reports regarding credentialed providers, and provides input for process design and other implementation activities.

Primary Duties and Responsibilities:

• Maintains constructive communication with Intake Coordinator and provides feedback, coaching, education and requests for rework or additional information regarding work products that do not conform with established organizational requirements for being deemed a complete application.
• Obtains verifications from authorized sources in conformance with established procedures. Follows standard operating procedures to ensure that the proper process has been followed when obtaining a verification.
• Responds to practitioner issues and concerns and advises Credentials Analyst of alternatives in attempting to meet and resolve them.
• Data entry, scanning or import of verification data in conformance with established expectations for format and entry of data into software (MSOW)
• Adheres to scope, timeliness and sequence of processing in accordance with departmental standards, which are imbedded in the Morrisey work processes, jobs and tasks set-up, as well as Medical Staff Bylaws and related policies.
• Evaluate responses for identification of potentially adverse information. Application of established flagging criteria to verfication responses for consideration in subsequent processing phases.
• Worklists files that deemed to meet required specifications for a complete file or an exhausted effort to Credentials Analysts (Quality Control). Performs additional work on or rework on files referred from Credentials Analyst.
• Monitors currency of credentials in conformance with established procedures including notifications to practitioner or other departments regarding delinquency and automatic suspension. Monitors disciplinary actions.
• Performs other duties as needed, to ensure that material is processed timely and accurately.
• Takes direction from and collaborates with the Credentials Analyst (Quality Control) to assist in resolution and escalation of issues.

Education:

• High School Diploma is required, Associate's or Bachelor's degree is preferred.

Licenses and Certifications:

• Certification or eligibility for Certification by the National Association of Medical Staff Services (NAMSS) as a Certified Medical Staff Coordinator (CMSC) or Certified Provider Credentialing Specialist (CPCS) is highly preferred within two years of initial hire date.

Experience and Skills:

• Three (3) years minimum related experience, or equivalent combination of education and experience.
• Previous experience in credentialing/privileging or health related field and use of medical terminology and clinical nomenclature.
• Ability to edit material and ensure correct punctuation, spelling and grammar. Ability to perform simple mathematical calculations.
• Proven track record in an environment that requires accurate and consistent management of detailed data elements and management of discrete tasks to meet specified deadlines.
• Proficiency in software applications to include use of menu driven, wordprocessing and spreadsheet applications. Extensive experience in Microsoft Word. Ability to wordprocess at a minimum of 60 WPM.
• Maintains knowledge in Medical Staff Bylaws, Rules and Regulations, Delineation of Privileges, TJC, IMQ, and Title 22 standards as they relate to the Medical Staff Appointment and Reappointment processes. Maintains a state of readiness for licensing and accrediting agencies.
• Demonstrate initiative, resourcefulness, and problem-solving skills in applying a detailed knowledge of the responsibilities, functions, and underlying management structure of the department and of the larger Health System in organizing and prioritizing work, establishing procedures and systems, and ensuring the orderly and timely flow of business.
• Routine office environment with prolonged sitting, telephone use, typing, and keyboarding.
• Close contact with CRT for prolonged periods.
• Able to travel to various locations on campus to meet with other personnel as needed.
• Able to maneuver in tight spaces, to bend, reach and stoop.

Working Title: Credentialing Coordinator II (Verification) - Centralized Credentialing Services
Department: Centralized Credentialing Serv
Business Entity: Cedars-Sinai Medical Center
Job Category: Compliance/Quality
Job Specialty: Credentialing & Licensure
Position Type: Full-time
Shift Length: 8 hour shift
Shift Type: Day
Base Pay:$28.17 - $43.66

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About Cedars-Sinai Medical Center

Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opport...unities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.

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