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Job Details

Credentialing and Compliance Coordinator

Requisition #: 184314
Location: Johns Hopkins Hospital/Johns Hopkins Health System, Baltimore, MD 21201
Category: Clerical and Administrative Support
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: April 10, 2019

Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join those who are leaders and innovators in the healthcare field.

POSITION SUMMARY:

Responsible for coordinating the credentialing process for multiple assigned clinical areas in accordance with Medical Staff Administration procedures. JHH Medical Staff Bylaws and guidelines of The Johns Hopkins Hospital, its affiliated entities and The Joint Commission (TJC). Supports re-accreditation by TJC, health insurance agencies and state and federal licensing bodies through internal and external auditing practices to show conformity to compliance standards and regulations. Applies accreditation standards to files to ensure patient safety through identification, investigation, and review of inconsistencies, omissions, and/or errors of information identified in the credentialing process. Minimizes processing time in order to quickly appoint clinical staff to the hospital for optimal revenue generation, and to provide the highest quality service to patients, clinical departments and Johns Hopkins University.

Full-time, Day Shift

8:30 a.m. - 5:00 p.m.

Work Location: Johns Hopkins at Mt. Washington

Pay Grade: NG

COMPETENCIES:

Education:

High school diploma or equivalent. Bachelor’s degree in fields such as healthcare, business, English or communications; experiences in health care settings a plus. .

Licensure, Certification, Etc.:

CPMSM, CPCS, or CPHQ (Certified Professional in Healthcare Quality) preferred.

Work Experience:

A minimum of one year of experience with hospital-based credentialing, medical office settings or in progressively more responsible positions in complex business/administrative office settings, including interacting with professionals, such as physicians, teachers, faculty, nurses etc. is preferred.

Knowledge:

Knowledge of medical staff services principles, methods and procedures, as well as administrative office management. Comprehensive understanding of a) credentialing policies and procedures; b) training program requirements as established by the Hospital and School of Medicine; and c) accreditation and regulatory requirements relating to the medical staff, with a focus on credentialing. Understanding of the Hospital’s credentialing policies and procedures as they relate to professional liability coverage.

Skills:

Possesses excellent organizational skills and ability to manage demanding workload; self-motivated; able to carry out responsibilities with minimum supervision.

Demonstrated ability to work independently, handling situations that require independent judgment.

Demonstrated ability to manage specialized electronic database, run reports and analyze data.

Demonstrated excellent command of English - spoken, written, and read.

Demonstrated ability to interact with diverse groups of people within the Health System and with outside agencies.

Possesses the analytical skills necessary to obtain correct information provided on physician and allied health applications.

Ability to focus on tasks regardless of distractions. Requires ability to pay meticulous attention to detail and to respond to requests for information.

Adheres to professional confidentiality standards in accordance with legal, ethical, and departmental policies.

Handles sensitive and confidential situations/information with a high degree of tact and diplomacy.

Exhibits excellent interpersonal skills, including those required for customer service.

Working Conditions:

Normal office environment where there are minimal physical discomforts due to dust, dirt, noise and the like. Stress, at times, related to work volumes and time pressures. Visual fatigue related to use of computers. Office layout is primarily open desk/cubicle arrangements.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

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