[Hiring] Credentialing Coordinator @Oregon Health & Science University

Role Description

The Credentialing Coordinator is responsible for coordinating practitioner credentialing, reappointment, privileging, and ongoing monitoring activities for members of the medical staff and allied health professionals. This position ensures compliance with hospital bylaws, accreditation standards, regulatory requirements, and organizational policies while supporting quality patient care through accurate and timely credentialing processes.

• 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 of practitioner credential files containing confidential peer review information.
• Conducts primary source verification and obtains clinical activity documentation.
• Tracks status of responses and follows up on missing information.
• May collaborate with physician leaders and the Medical Affairs Director for clinical privileging system development.
• Maintains confidential computerized information in credentialing databases.
• Performs and coordinates meeting logistics, documentation preparation, and follow-up.

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.
• Demonstrated software database experience.
• Familiarity with legal, state, TJC, and NCQA guidelines.

Requirements

• Expresses thoughts clearly, concisely, and effectively both verbally and in writing.
• Organizes work, sets priorities, and determines short- or long-term goals.
• Establishes productive relationships with subordinates, peers, management, and stakeholders.
• Ability to understand laws, regulatory agency requirements, and standards.
• Proficiency in word processing and computer systems.
• Must be able to perform the essential functions of the position with or without accommodation.

Preferred Qualifications

• Associate or bachelor’s Degree.
• Previous experience in hospital medical staff credentialing and privileging.
• Experience using CredentialStream or similar credentialing software.
• Experience supporting medical staff committees.
• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM).

Additional Details

• This position is being recruited for Monday-Friday coverage from 8:00am-4:30pm.
• Full-time remote position with regular interaction with physicians and healthcare leaders.
• Position requires frequent computer use, management of multiple priorities, and strict attention to detail.