Medical Staff Credentialing Manager manages staff that process credentialing and recredentialing applications for health care providers. Oversees department operations to ensure compliance with all regulatory standards. Being a Medical Staff Credentialing Manager implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Analyzes reports on applications and credentialing status to identify trends and improve the credentialing process. Additionally, Medical Staff Credentialing Manager prepares files for the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a director. The Medical Staff Credentialing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Medical Staff Credentialing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Position Summary
The Medical Records Staff manage medical information records, which include both electronic data and paper files. They organize and keep track of patients’ medical histories and test results, both for facility, doctor, insurance and legal use. Medical records staff use ethical principles and decision-making skills, and the knowledge of local, state, federal and other regulatory requirements necessary for the long-term care industry.
Position Responsibilities
The Medical Records staff has in-depth knowledge of medical technology, processes, and administrative duties. This position must demonstrate excellent communication and organizational skills. Responsibilities of the Medical Records Staff include (but are not limited to):
Other Responsibilities
Working Conditions
Because the nursing home provides round-the clock care, working hours may include days, nights, weekends and holidays. An Administrator works in a climate controlled and well-lighted environment with a smoke-free policy. Works in an office and walks throughout the building daily. Has a low risk of exposure to infectious diseases, but receives training in handwashing practices and has access to personal protective equipment if direct exposure is anticipated. Is subject to interruptions, noise, and odors daily.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. While performing the duties of this job, the employee is regularly required to stand and talk or hear. The employee is frequently required to walk; use hands to finger, handle, or feel; and reach forward with hands and arms. The employee is occasionally required to sit and stoop, kneel, or crouch. The employee must occasionally lift and/or move up to 20 pounds and occasionally lift or move 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
Physical Demand Ratings are an estimate of the overall strength requirements that are consider to be important for an average, successful work performance of a specific job. The overall physical demand rating for a Medical Records Staff falls within the medium classification (10 to 20 pounds of force occasionally and/or exerting 20 to 50 pounds of force occasionally. Physical Demand requirements are in excess of those for Light Work.
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