Compliance​/Expirables Coordinator

General Summary of Position

Under the direction of the System Director, coordinates and prioritizes a high volume of diverse requests relating to compliance documents and expirables. Responsible for all expirables‑related duties, including: emailing or mailing monthly expirables letters to practitioners and handling all related follow‑up. Continually tracks expirables, using defined reports and dashboards within the credentialing database, in order to obtain the credential renewal information.

Routinely queries websites to acquire renewals and scans or imports those renewals into the credentialing database and updating the related documents. Responsible for assisting practitioners with inquiries as it relates to the utilization and access to the online practitioner portal. Works in a team environment within the department and with the Medical Staff offices. Serves as a liaison between MSH affiliated hospitals and Medical Staff Administration offices, MMG and Med Star Family Choice.

• Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.
• Works with Risk Management to obtain annual certificates of insurance and update the credentialing database accordingly.
• Within established time frames, is responsible for generating and sending expiration notices to practitioners with expiring/expired documents to include state license, DEA, CDS, Board Certification, Certificate of Insurance, etc.
• Responsible for the primary source verification of expirable documents. Continually checks websites and reports for opportunities to acquire renewal information.
• Responsible for tracking all queries and performing subsequent queries, or, determining the need for another means of verification in accordance with deadlines and priorities.
• As responses to queries received and information entered in database, compares information received with information in the credentialing database and updates accordingly, including importing or uploading the newly obtained primary source verification.
• Responsible for monitoring their employee work list and expirables reports for the purpose of following up to obtain necessary renewals.
• May assist the credentialing analysts with the follow‑up on missing data and/or discrepancies in accordance with established time frames and based on knowledge of general credentialing processes and needs of clinical assignment.
• Completes ad hoc projects related to credentialing database data standardization.
• Provides administrative support to the System Director.
• Serves as department representative for client support as it relates to the online practitioner application portal.
• Maintains integrity of the credentialing database and all practitioner records. Utilizes appropriate database tracking reports to ensure accuracy and thoroughness of imported data as well as data that may be entered manually.
• Serves as a liaison with MSH affiliates and their medical staff administration departments, MMG and MFC, which includes providing effective and timely communication as it relates to expirables and compliance documents.
• Maintains competency on credentialing database via participation in online education learning modules and monthly skills related webinars.
• Participates in meetings and on committees and represents the department and hospital in community outreach efforts.
• Participates in multi‑disciplinary quality and service improvement teams.
• Performs other duties as assigned.

• High School Diploma or GED required or
• equivalent required and
• Associate's degree preferred

• 1-2 years Experience in general healthcare office procedures, insurance/risk management or credentialing services. required

• Working knowledge of general office practices and software applications (MS Office) and database management.
• Demonstrated understanding of credentialing policies and procedures and training program requirements as established by the CVO, as well as accreditation and…