Experience / knowledge of Medical Coding is a plus! 

At Houston Methodist, the Medical Staff Services Specialist position provides comprehensive support to the Medical Staff and Governing Body in matters of Medical Staff self-governance. Duties for this position are varied within the department and include one or more of the following: processes applications for appointment and reappointment to the Medical Staff and Allied Health Professionals; maintains current and accurate physician and privileging information for hospital information systems to support hospital operations and appropriate patient care; interacts daily with hospital staff, management, and members of the medical staff in applicable areas of Medical Staff Services and functions, including preparation and/or distribution of Emergency Call Schedules and/or physician compensation; and performs other preparatory and documentation functions related to the medical staff's general, department and committee meetings, as applicable

PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

• Provide personalized care and service by consistently demonstrating our I CARE values:
  • INTEGRITY: We are honest and ethical in all we say and do.
  • COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
  • ACCOUNTABILITY: We hold ourselves accountable for all our actions.
  • RESPECT: We treat every individual as a person of worth, dignity, and value.
  • EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

• Practices the Caring and Serving Model

• Delivers personalized service using HM Service Standards

• Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)

• Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience

• Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

• Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

PEOPLE ESSENTIAL FUNCTIONS

• Assists with customer needs, handles resolution of complex problems/issues and notifies management of issue and resolution, such as physician onboarding and education (CME's) as related to scope of department.

• Promotes a positive work environment and contributes to a dynamic, team-focused work unit that actively helps one other to achieve optimal departmental and organizational results.

SERVICE ESSENTIAL FUNCTIONS

• Supports medical staff by performing one or more of the following functions:
  - Performs medical staff meeting management including logistics, scheduling, agenda, preparation/minutes and follow-up.
  - Manages ER call schedules as applicable.
  - Performs credentialing and privileging tasks such as but not limited to temporary/additional privileges, dependent allied health.
  - Responds to inquiries from other healthcare organizations as needed.
  - Performs physician compensation duties as applicable.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Performs analysis of applications/documents and internal audits on files.

• Performs data analysis and investigates issues within the credentialing database; manages database as necessary.

• Prepares for accreditation reviews and ongoing compliance with regulatory standards.

FINANCE ESSENTIAL FUNCTIONS

• Adjusts work schedules to accommodate departmental/organizational needs.

• Uses resources efficiently and does not waste supplies.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Participates in department and organizational projects and activities.

• Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

EDUCATION

• High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

WORK EXPERIENCE

• Three years of experience in the Medical Staff office, Credentialing/Privileging, and/or administrative function in healthcare

• Three years of experience in word-processing and spreadsheet software, such as Microsoft Word and Excel, and database management.

LICENSES AND CERTIFICATIONS - REQUIRED

• N/A

LICENSES AND CERTIFICATIONS - PREFERRED

• CPCS - Certified Provider Credentialing Specialist (NAMSS) OR
• CPMSM - Certified Professional Medical Services Management (NAMSS)

KNOWLEDGE, SKILLS, AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security

• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles

• Self-motivated, detail-oriented, energetic, and able to prioritize multiple projects

• Knowledge of accreditation and certification regulations that relate to Medical Staff Services

• Computer literacy, including ability to utilize various software programs to complete all job tasks described in job summary. Must be proficient in word-processing, spreadsheet and presentation software such as Microsoft Word, Excel, and PowerPoint. Experience with credentialing software preferred

• Knowledge of medical terminology

• Ability to complete work within designated time frames

• Ability to offer suggestions to leadership and colleagues and implement change to enhance efficiency and organization of office operations

• Ability to maintain confidentiality and privacy of practitioner files

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

• Uniform No
• Scrubs No
• Business professional Yes
• Other (department approved) No

ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.

• On Call* No

TRAVEL**
**Travel specifications may vary by department**

• May require travel within the Houston Metropolitan area Yes
• May require travel outside Houston Metropolitan area No

Houston Methodist Clear Lake Hospital brings the expertise and compassionate care of Houston Methodist Hospital in The Texas Medical Center – a national Honor Roll hospital – to Bay Area communities. The hospital provides a broad spectrum of adult medical and surgical care, is an accredited chest pain center, and is also acute stroke-ready designated through DNV. Houston Methodist Clear Lake offers many inpatient and outpatient services including 3-D mammography and other state-of-the-art imaging, labor and delivery with a level II neonatal ICU, Cancer Center of Excellence, advanced laparoscopic surgery, comprehensive orthopedics and sports medicine, neurology, urology and otolaryngology.  Also, Houston Methodist Clear Lake Hospital is honored to be the only hospital in the bay area to have a Grade A rating from Leapfrog Hospital Safety Grading.