I. GENERAL SUMMARY:

This position is responsible for coordination of the credentialing/appointment/reappointment functions of the Medical Staff Office, including physician and allied health credentialing and recredentialing, meeting management, flow of information from Credentials Committee through the Medical Board and Quality of Care Committee. Assists Director with JCAHO survey preparation for the medical staff leadership function by understanding JCAHO accreditation standards. Develops understanding of, and conducts activities in accordance with, outside licensing and auditing agency standards.

Under the direction of the Manager of Credentialing, the Credentialing Coordinator II is responsible for the maintenance of a streamlined electronic practitioner credentialing process as it relates to initial and/or re-credentialing, changes in privileges/specialty or demographic information, on-going maintenance and verifications of current documents, voluntary terminations, annual delegation audits, expirables, and committee meeting management including minutes, and other duties required to maintain compliance with regulatory and accreditation agencies and credentialing policies and procedures.

PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS:

Conducts activities related to physician initial appointment to the medical staff by consistent and timely data entry and verification activities and conforms to established timeframes. Monitors status of pending reappointments and ensures timely completion of physician and allied health reappointments by maintaining logging system to ensure all packets are returned in a timely manner. Upon return of reappointment packets, reviews data for completeness. Follow up to obtain missing information as needed. Develops sound understanding of OneApp database data entry and reporting procedures. Inputs information and conducts audits of the information to ensure its completeness and accuracy. Prepares packets for Credentials Committee, Medical Board and Quality of Care Committee. May prepare agenda and attends meetings as directed, may take and transcribe minutes if needed. Integrates as appropriate QA/UR information into physician files. Types and distributes reports, statistical data, letters, and other documents. Files and retrieves documents. May assist in developing privilege criteria, privilege delineations and other activities necessary to an effective credentialing process. May be required to prepare meeting agenda, minutes and follow up on issues as assigned by the Credentials Committee, Medical Board and/or Quality of Care meetings. Participates in the medical staff officer elections and assists in development of policies and procedures related to JCAHO, NCQA and other accreditation agency requirements. Performs other job related duties as required or requested.

III. JOB REQUIREMENTS:

A. JOB KNOWLEDGE AND SKILLS:

Able to effectively interact with outside facilities/agencies on behalf of Tufts Medical Center Deals with highly confidential/sensitive information. Willingness to follow established procedures and work within deadlines. Excellent communication and organizational skills. Ability to work independently and prioritize responsibilities. Word processing and data base (or spreadsheet) knowledge required, familiarity with database structure helpful.

B. EDUCATION:

Level of knowledge equivalent to an Associates degree in Business.

C. EXPERIENCE:

Three to five years of administrative experience required.

IV. WORKING CONDITIONS/PHYSICAL DEMANDS:

Office environment requiring interaction with other departments and medical staff. Ability to stand, bend, and move appropriately to file; lift up to 30 pounds of paper materials.

AMERICANS WITH DISABILITIES STATEMENT:

Must be able to perform all essential functions of this position with reasonable accommodation if disabled.

Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home — an expansive home care network, and large integrated physician network. Please note that effective October 1, 2021, as a condition of employment at Tufts Medicine, all employees and new hires must have received their complete dose of the COVID-19 vaccine, unless they have been granted an exemption. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.