Coordinator Medical Staff Lead - Medical Staff Admin

Company: Christus Health
Location: San Antonio
Posted on: March 26, 2025

Job Description:

Description
Summary: This position is responsible for coordinating the activities and functions of the medical staff credentialing process according to its By-Laws, rules and regulations; assures compliance with local, state and federal laws relating to credentialing of all independent providers of care at the CHRISTUS Santa Rosa Family Health Center. Responsibilities:

• Manages all credentialing activities for the Family Health Center.
• Prepares initial and reappointment credentialing applications of Faculty physicians to meet regulatory and insurance provider requirements, types all questionnaires, applications or documents to completion in credentialing process and updates information in practice management system. Corrects any issues within the practice management system, which deal with credentialing that would put claims on hold.
• Process reappointment applications to include research and verification of all reappointment documentation to ensure the program's objectives are accomplished. Ensures the credentialing of applications for reappointment is coordinated accurately and timely in compliance with defined schedules. Collects and analyzes information thoroughly to identify potential quality care issues, behavioral problems, appropriate education and training. Investigates issues of concern, generates reports, and presents findings to facilitate recommendations to the Family Health Center Director.
• Interfaces effectively with the Revenue Cycle Manager and Nurse Manager to integrate quality of care and risk management and Audit Summary report finding into the provisional review and reappointment process resulting in acceptable outcomes. Activates and monitors provisional processes to include timely data collection, analysis, and reporting to assure compliance with rules and regulations.
• Facilitates assigned medical staff standing. Consults with Nurse Manager and Revenue Cycle Manager to achieve action-oriented outcomes assuring that problems identified are either acted upon or appropriately referred.
• Records Fee Schedule Tracking spreadsheet and recommendations succinctly and accurately to substantiate actions taken. Updates practice management system with new allowable fee schedules on a yearly basis. Maintains and protects the confidential record of chargemaster and fee schedule.
• Maintains documented evidence of professional license, federal and state narcotics certificates and professional liability coverage of Medical Staff members.
• Responsible for the integrity of both the credentialing database and contracts for Family Health including daily maintenance and production of reports, correspondence, and labels.
• Produces tracking reports and uses them to detect and resolve work in process issues.
• Assists the Revenue Cycle Manager and Director of the FHC in organizing the Credentials and Privileges guidelines.
• Provides current and accurate information on legal issues/requirements and pertinent regulatory standards using case precedent citations, Texas Medical Practice Act requirements, and other state and federal guidelines to facilitate informed decisions and avoid anti-trust litigation and other legal consequences.
• Assists the FHC Director, and Revenue Cycle Manager, and Nurse Manager in bringing about an enhancement of relationships with physicians by working effectively with physician leaders, new medical faculty and residents.
• Schedules and coordinates departmental meetings, orders catering (where applicable); records and transcribes minutes for the curriculum committee - admin; and coordinates follow up action.
• Reads incoming correspondence; determines deadlines and suspension dates and refers to appropriate individual.
• Demonstrates competence to perform assigned responsibilities in a manner that meets the age-specific and developmental needs of the members served by the Family Health Center.
• Appropriately adapts assigned patient assessment, treatment and/or care methods to accommodate the unique physical, psychosocial, cultural, age-specific and other developmental needs of each member served.
• Performs other duties as assigned. Requirements: Education
  • Associate's Degree or equivalent education and experience. Medical terminology training is preferred. Experience
    • Two-three (2-3) years recent experience of progressively more responsible experience in medical staff services, preferably in a large health care facility. Licenses, Registrations, or Certifications
      • Certified Professional Credentialing Specialist (CPCS) preferred. Work Type: Full Time EEO is the law - click below for more information: We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at .

Keywords: Christus Health, San Antonio , Coordinator Medical Staff Lead - Medical Staff Admin, Administration, Clerical , San Antonio, Texas