[Hiring] Credentialing Coordinator @Oregon Health & Science University

Role Description

The Medical Staff Office (MSO) serves as the central hub for all credentialing and privileging activities that support HMC's medical staff and ensures safe, high-quality patient care. The MSO partners closely with physicians, advanced practice providers, hospital leadership, and regulatory agencies to maintain full compliance with accreditation standards and state and federal requirements. The department oversees the lifecycle of practitioner credentialing from initial application and primary source verification to reappointment, ongoing monitoring, and privileging.

• Processes applications for credentialing and privileging for both initial appointments and reappointments.
• Requires detailed knowledge of legal, state, OHSU, DNV, TJC, and NCQA guidelines.
• Recognizes, investigates, and validates discrepancies and adverse information.
• Maintains organization and confidentiality of practitioner credential files.
• Conducts primary source verification and obtains clinical activity documentation.
• Tracks status of responses and follows up on missing information.
• Maintains confidential computerized information in credentialing databases.
• Documents all steps in the credentialing process and updates information daily.

Qualifications

• High School Diploma or GED required.
• 3 years medical staff credentialing experience in a healthcare or insurance provider setting; OR
• Associate's degree and 3 years' experience performing data collection or data analysis using complex database software systems; OR
• A combination of education and experience.

Requirements

• Demonstrated software database experience for efficient generation of letters and correspondence.
• Familiarity with legal, state, TJC, and NCQA guidelines.
• Ability to organize work, set priorities, and determine goals and strategies.
• Establishes productive relationships with subordinates, peers, management, and stakeholders.
• Possess independent problem-solving and decision-making abilities.
• Sensitivity to highly confidential information and communication.
• Proficiency in word processing and understanding of data.

Preferred Qualifications

• Associate or bachelor’s Degree.
• Experience with an electronic credentialing database or systematic mechanism for tracking credentialing processes.
• Credential Stream credentialing database experience.
• Hospital credentialing/recredentialing experience.
• Credentialing Specialist (CPCS) certification.

Additional Details

• This position is being recruited for Monday-Friday coverage from 8:00am-4:30pm.
• Full-time teleworking with many interruptions.
• Ongoing interaction with the Medical Affairs Program and various OHSU departments.

Benefits

• OHSU is Oregon's only public academic health center.
• Opportunities for groundbreaking research and training the next generation of health care professionals.
• Largest employer in Portland with opportunities to learn and advance.

Company Description

OHSU welcomes people of all ages, ethnicities, genders, national origins, religions, and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply.

To request reasonable accommodation, contact [email protected] .