Coordinator Credentialing/Privileging

Philadelphia, PA, US, 19107

Job Type: 

1300 MKT - Wanamaker Building Req ID: 26871

Shift: Days

Employment Status: AF - Active - Regular - Full Time 

Job Summary

Under the direction of the Manager of Credentialing and Privileging/Medical Staff Affairs, performs complex, diversified administrative, operational and strategic functions; Must be detail oriented, manage multiple projects and priorities simultaneously and support peers; Act as department liaison to all applicable external and internal customers; Must have full working knowledge of the current TJC medical staff standards as well as other regulatory agencies, (such as DOH) related to medical staff credentialing and privileging of physicians, dentists and selected advanced practice providers; Must have working knowledge of primary source verification processes.

Job Responsibilities

Maintain TJC and DOH compliance for Medical Staff members
Communicate with Division administrators regularly to review status of Medical and Licensed Practitioner staff applications and to review privileging criteria.
Communicate regularly with Manager of Credentialing and Privileging and Lead Credentialing Coordinator regarding the status of all requests for initial appointment and reappointment to the Medical and Licensed Practitioner Staff.
Coordinate biennial reappointment process with Division Administrators to ensure compliance with CHOP Medical Staff Bylaws and regulatory agency standards.
Maintain and perform computerized and/or manual recordkeeping functions.
Monitor data collection for medical staff and advanced practice provider files to ensure licensure and credentials are current.
Coordinate periodic requests for medical staff information from hospital departments such as Public Relations, Development and Marketing.
Ensures that primary source verifications are performed in a timely manner.
Provide administrative oversight for internal systems
Develop and maintain automated response programs for accurate notification of time-sensitive documents pending expiration.
Continually review internal documents and updates as required for regulatory compliance.
Ensure that primary source verifications are performed in a timely manner.

Job Responsibilities (Continued)


Assures superior customer service
Use independent judgment when problem solving; Seek assistance from manager, team lead, or team member immediately when necessary
Recognize customer concerns, prioritize them appropriately and follow-up within 24 hrs on all queries
Monitor compliance of assigned departments for all outstanding documents, files and/or signatures required to complete appointments and/or reappointments

Provide administrative support to Manager, Director and CMO
    Provide support for periodic projects as required as part of Department’s ongoing effort to meet TJC and other regulatory requirements.
   Coordinate annual DOH audit data submission, assist manager in preparing for regulatory agency site visits and surveys. 

   Advise manager of anticipated problems involving licensure or accreditation.

Required Education and Experience

3-5 years Medical Staff office or physician credentialing experience required. 

Intermediate working knowledge of credentialing management database systems, MS Word, Adobe, and Excel required.

Strong background in processing licensing renewals, verifications and data searches required. 

Must have working knowledge of on-line licensing and board queries. 

Preferred Education, Experience & Cert/Lic

Bachelor’s degree preferred

Previous experience in Joint Commission and DOH site surveys preferred.

Additional Technical Requirements

All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption.

Children's Hospital of Philadelphia is committed to providing a safe and healthy environment for its patients, family members, visitors and employees. In an effort to achieve this goal, employment at Children's Hospital of Philadelphia, other than for positions with regularly scheduled hours in New Jersey, is contingent upon an attestation that the job applicant does not use tobacco products or nicotine in any form and a negative nicotine screen (the latter occurs after a job offer).

Children's Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.

VEVRAA Federal Contractor/Seeking priority referrals for protected veterans.  Please contact our hiring official with any referrals or questions.

CHOP Careers Contact 

Talent Acquisition

2716 South Street, 6th Floor

Philadelphia, PA 19146 

Phone: 866-820-9288




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