Non-Clinical - Administrative/Medical Staff Coordinator
 Ampcus, Inc | |
 United States, California, Los Angeles | |
 Aug 29, 2024 | |
|
Shift: Day 5x8-Hour (08:00 - 17:00)
Description: Title: Document Control Specialist Location: Onsite at 924 Westwood Blvd, Ste 900 Los Angeles, CA 90095 Rate: *** Required: At least 3 years of experience with healthcare credentialing (i.e., credentials verification organization, or Medical Staff Office), Working knowledge of the health care and credentialing industry, regulatory agencies, and other national standards (TJC, NCQA, AAAHC) Experience working with MDStaff, Experience with Primary Source Verification, principles pertaining to FPPE, OPPE and Privileging, Proficient in Microsoft Office (Excel, Word, Outlook) and Adobe Acrobat CPCS Preferred SUMMARY STATEMENT: Under the direction of the Program Manager for Credentialing Quality/Process Improvement, the Medical Staff Credentialing Coordinator provides support to the medical staff organization activities in a high volume, goal driven environment. By being the point of contact with department management, medical staff and hospital leadership to ensure compliance and optimal efficiency for appropriate membership and privileges throughout the tenure of a provider s tenure with UCLA Health, Advanced Health Professionals and CVO contracted facilities. First responder to maintaining the privileging process for members of the Medical Staff as well as performing auditing functions pursuant to facility Bylaws, Rules and Regulations; Credentialing Policy and Procedures; and other applicable accreditation/payor standards. The Medical Staff Coordinator is expected to work independently and collaboratively at all times with colleagues in the Medical Staff Office, Credentials Verification office, Clinical Service Coordinators, and other staff within the Medical Center while facilitating continuous process improvement efforts to achieve department and organization initiatives. Duties: Cultivate and produce efficient and compliant onboarding processes, such as: A. Pre-application intake and monitoring with Clinical Services and School of Medicine/Faculty Practice Group. Determines applicant's initial eligibility for membership/participation. Analyzes application and supporting documents for completeness and informs the practitioner of the application status, including the need for any additional information. B. Receive, review, and analyze all incoming electronic applications and electronic documents to assure that they meet credentialing requirements. C. Facilitates the re-credentialing/reappointment process for eligible providers. Works with assigned medical staff services, routing completed credentials files (Initial and Reappointment) through the service evaluation process, and Medical Staff Credentials Committee. D. Assists assigned services with all aspects of privilege delineation. Assures that requirements for privileges are documented prior to files being sent to the services for evaluation. Recognizes, investigates, and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources. E. Tracks proctoring requirements for assigned services, and status of practitioners who require proctoring. F. Maintain the electronic data base Assumes responsibility for accuracy of data maintained in Medical Staff databases when initial applications are sent out, coordinates application request process. Enter practitioners to database accurately and appropriately. G. Ensure the integrity of the administrative suspensions, credentialing, and privileging functions. H. Quality assurance Ensure that medical staff by-laws are followed; Recommend updates to the Bylaws in line with practice and compliance. Inform the Manager of the quality and status of Unit operations and practitioner credentialing issues of concern on a regular and timely basis I. Other Duties Other Medical Staff and Credentials Verification duties and processes, as assigned by Manager Quality Assurance A. Primarily responsible for auditing all files for completion and components per accreditation and regulatory standards to ensure compliance and optimal efficiency. B. Important responder to data integrity/system interface issues to clients providing a level of excellent customer care C. Provides input and guidance related to issues around a provider s appointments when sanction hits or the Medical Board of California notify the health system of issues UCLA C-I-CARE/Patient Experience Practices: MY COMMITMENT TO CARE Observe and practice all the Service Standards listed in the World Class Practices (which I have read and signed). o Practice C-I-CARE when interacting with patients, their families, visitors, or internal customers. o Connect with the patient and family members by addressing them as Mr./Ms., or by the name that they prefer. o Introduce yourself and your role. o Communicate what you are going to do, how long it is going to take, and how it will impact the patient. o Ask and anticipate patient and/or family needs, questions or concerns. o Respond to patient and/or family questions and requests with immediacy. o Exit courteously and/or with an explanation of what will come next (or when you will be back to check on them). o Practice C-I-CARE phone etiquette during all phone interactions Always exercise courtesy whenever patients, family members, visitors and co-workers are present. o Respect privacy and dignity of our patients, family members, visitors and co-workers. o Maintain professionalism in the presence of patients, their families, visitors and co-workers Observe departmental Patient Experience plan, competencies and practices. o Act as a role model, verbally and behaviorally demonstrating skill, enthusiasm, positive problem solving, commitment and loyalty to the profession and the organization. o Participate in positive problem solving by providing suggestions and possible solutions to identified concerns/problems in the work place. Comply with Health System Workplace Conduct Policy o Engaging in disruptive behaviors that interfere with or prevent normal work functions or compromise patient safety, including passive or active behaviors will not be tolerated as stated in the HS Workplace Conduct Policy. Comply with Health System Dress Code Policy and practices INSTITUTIONAL AND/OR PROFESSIONAL STANDARDS Comply with HIPAA and Confidentiality Policies and Procedures as they apply to the job Comply with Department of Public Health (DPH), The Joint Commission and other accreditation and regulatory agencies standards Adhere to all Hospital Policies and Procedures Knowledge and adherence to Infection Control and Environment of Care Guidelines and Procedures as described in the annual education module Demonstrates adherence to the requirements for using the electronic health record Demonstrates understanding of institutional and department specific emergency management procedures/responsibilities to maintain personal, patient, and co-worker safety, maintains competencies in these areas, and participates in disaster/emergency related exercises and education. PERFORMANCE IMPROVEMENT Adhere to current organizational Performance Improvement priorities Participate in quality studies through data collection and dashboard data collection Make recommendations and take actions to improve structure, system or outcomes | |