Medical Staff Credential Coordinator

Presbyterian is seeking a Medical Staff Credentialing Coordinator that supports the Medical and Allied Health Staff credentialing/primary sourcing verification program by coordinating and developing internal processes in order to meet requirements of federal and state regulatory and national accreditation agencies. Monitors timeliness of processes and provides feedback and/or reports to the appropriate manager. Audits accuracy of data entry in the credentialing database and provides feedback to appropriate internal and external customers.

 

They serve as a trusted subject matter expert across PHS departments and facilities, particularly in the areas of initial and reappointment applications and privileging. With a strong understanding of Medical Staff Bylaws, Rules, and Regulations, they ensure full compliance while supporting the daily workflow of the CVO.

 

This candidate collaborates effectively with leadership to develop policies and procedures that align with regulatory and accreditation standards. They are also skilled in managing special projects, demonstrating initiative, attention to detail, and a commitment to excellence in credentialing operations.

• This is a Full Time (1.0 FTE) position - Exempt: Yes
• Job is based Presbyterian Hospital
• Work hours: Days

Ideal Candidate

The ideal candidate brings comprehensive knowledge of medical and allied health staff credentialing processes and requirements. They proactively investigate concerns, follow up as needed, and prepare clear, actionable reports for the Manager of Medical Staff Affairs (MSA) or the Manager of the Credentials Verification Organization (CVO).

• Associates Degree/Diploma in medical staff services studies, or a related field preferred.
• Three (3) to five (5) years experience in medical staff affairs/credentialing, credentials verification organization, or related field preferred.
• Public relation skills required in order to be effective and behave in a professional manner when dealing with practitioners and customers.
• Requires excellent time management and organizational skills in order to handle multiple projects simultaneously.
• Certification or eligibility for certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred.
• Education Essential: High School Diploma or GED

• Assists the Medical Director Department leadership in managing activities to ensure a coordinated effort to fulfill departmental responsibilities within its long-range plans and goals
• Exercises discretion and independent judgment involving the comparison and the evaluation of possible courses of action related to meeting primary source verification and credentialing requirements. Acts or reaches decisions independently after the various possibilities have been considered.
• Investigates discrepancies in data submittal related to applications and privileging and formulates appropriate course of action.
• Provides excellent customer service by responding to provider, client, and customer inquiries within specified timeframes, as required by the department
• Maintains statistical information relative to the department s quality indicators
• Responsible for orientation/training of new and current employees as it relates to departmental procedures, credentialing database, and daily work
• Serves as a subject matter expert on appropriate national accreditation agencies and federal/state regulations pertaining to required credentialing processes
• Maintains knowledge base of appropriate national accrediting agencies

About Presbyterian Healthcare Services

Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.

 

The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities—like challenges, webinars, and screenings—with opportunities to earn gift cards and other incentives.

 

As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships.

Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans.

 

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

USD $29.22/Hr.

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.