Credentialing Analyst - Quality jobs in United States
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Missouri Delta Medical Center · 13 hours ago

Credentialing Analyst - Quality

Missouri Delta Medical Center is a healthcare provider seeking a Credentialing Analyst - Quality. The role involves processing and maintaining confidential files for medical staff, conducting primary source verifications, and coordinating the credentialing functions in accordance with relevant regulations.

Health CareHome Health CareMedicalNon ProfitOncology

Responsibilities

Processes and maintains confidential files for medical staff members and Allied Health Professionals. This entails ongoing maintenance of verification and data base entry of current information (Missouri license, malpractice insurance, DEA, and BNDD)
Initiates and follows through with the credentialing verification process for requests for privileges and/or reappointments to the Medical Staff
Carries out all primary source verifications (education, competence, licensure, board certification, malpractice history…) and query relevant databases (NPDB, AMA, OPMS, OIG….)
Initiates criminal background checks pertinent to each applicant
Reviews each application and documentation gathered in support thereof for completeness and accuracy, and prepares this information for review and recommendation of the department chair, Credentials Committee, Medical Executive Committee, and Hospital Executive Committee
Tracks the progress of applications for appointment, reappointment, and clinical privileges and initiates appropriate follow-up for issues that require further investigation, if necessary
Disseminates information regarding appointment and privileging to hospital departments with a need to know
Works independently to coordinate the medical staff credentialing functions in accordance with guidelines and regulations of the Medical Staff By-Laws, the medical center by-laws, JCAHO, National Practitioner Data Bank, the State of Missouri, and FDA regulations (for the institutional review board activities)
Works with medical staff members and Administration to fulfill the tasks of the credentialing process
Organizes, attends, takes minutes, and prepares agendas and pertinent information for Credential Committee meeting
Attends meetings as required
Performs secretarial functions for medical staff Credentials Committee
Performs day-to-day clerical functions of maintaining the Credentials Office
Carries out all job responsibilities while maintaining confidentiality
Coordinates monthly Continuing Medical Education (CME) programs for Medical Staff
Performs other credentialing duties as required

Qualification

Credentialing verificationMedical terminologyData entryClerical functionsConfidentiality

Required

Graduate from high school
Three years of experience in health care related field

Preferred

College accredited or commercial courses in medical terminology, computers, typing, shorthand and English

Company

Missouri Delta Medical Center

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Missouri Delta Medical Center provides behavioral health, cancer care, cardiology, diagnostic imaging and cardiac rehabilitation services.

Funding

Current Stage
Late Stage

Leadership Team

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Jason Schrumpf
CEO
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Greg Carda
CFO
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Company data provided by crunchbase