PROFESSIONAL STAFF CREDENTIALING COORDINATOR

Company: The Institute for Family Health
Location: New York
Posted on: April 4, 2025

Job Description:

The Credentialing Coordinator is responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing processes. Facilitates all aspects of The Institute for Family Health credentialing, including initial appointment, reappointment, expirables process, as well as clinical privileging for Medical Staff, Allied Health Professionals, and all other providers outlined in the organization's Professional Staff Policy and Procedure manual, or related contracts. The Credentialing Coordinator will ensure interpretation and compliance with the appropriate accrediting and regulatory agencies. Will develop and maintain a working knowledge of the NYS regulations and laws relating to credentialing for the accuracy and integrity of the credentialing database system and related applications. The Professional Staff/Credentialing employees work under the direct supervision of the Vice President of Human Resources.

Be one of the first applicants, read the complete overview of the role below, then send your application for consideration.

Responsibilities:

Responds to requests for application for medical staff membership and/or clinical privileges, and processes applications for appointments, reappointments, and requests for clinical privileges.
Verifies licensure, education, training and other requirements designated by medical staff policy.
Reviews completed file for accuracy and identifies problem areas to be brought to the attention of a supervisor.
Inputs relevant data into the credentialing database.
Identifies and obtains current verification of expirables data elements.
Maintains working knowledge of changes and upgrades in computer programs.
Keeps files accurate and up-to-date.
May attend and support Credentials Committee meetings.
May assist in the collection of pertinent practitioner performance data for use at the time of reappointment and/or renewal of privileges.
May review privilege requests for adherence to required criteria.
Maintains current knowledge of governing documents, accreditation standards, and regulatory requirements, and serves as an internal resource, consultant, and educator, alerting appropriate medical staff leadership regarding changes and compliance requirements.
Performs miscellaneous job-related duties as assigned.
Assist with Delegated Audits

High school diploma or GED required
Bachelors degree preferred
1 year of experience directly related to human resources, administration, customer service, medical staff or managed care credentialing required

Equal Employment Opportunity/Affirmative Action:

The Institute for Family Health is an Equal Employment Opportunity Employer. This job summary is intended to be brief and may not list all the duties and functions required, however, it does highlight the essential requirements. Nothing outlined in this job summary is to be construed as an express or implied contract of employment.


Please visit www.Institute.org for more information.

Keywords: The Institute for Family Health, New York , PROFESSIONAL STAFF CREDENTIALING COORDINATOR, Other , New York, New York