Medical Staff Credentialing Coordinator Training


A medical staff credentialing coordinator is someone who checks and verifies that doctors and professional staff have the necessary credentials, licenses and skills to perform their duties in a hospital or critical care unit. The coordinator is responsible for all paperwork, filing, tracking, verification and entering of this information into the proper databases. Training usually includes courses in medical terminology and techniques, as well as legal requirements and verification procedures. Two-year colleges offer both certificate and degree programs.

Medical Terminology

Medical terminology is frequently difficult to understand and learn; however, it's critical for success as a medical staff credentialing coordinator. Even job descriptions, such as nurse, nurse practitioner, resident and medical director, must be clarified and defined in training. Classes in medical coding are also useful and necessary. Medical coding involves numbers or codes for diagnoses, treatments, symptoms and other terms that enable insurance companies to accurately bill patients and hospitals. Training is available in various locations, from colleges to vendors and professional associations.

Credentialing Techniques

Credentialing techniques training is important, as it involves tasks that a credentialing coordinator performs every day. Online training and Web-based training seminars are also available as learning options. Topics range from how to create documentation and tracking systems to screening and verification procedures. Modules on licensure and state medical boards are also valuable training areas. Certification programs are available and are offered frequently through the National Association Medical Staff Services, which also offers preparatory classes for certification as a medical staff credentialing coordinator.

Medical Law

A basic understanding of medical law is vital for success as a medical staff credentialing coordinator. Learning about licensing and educational requirements for both doctors and nurses is an important module for training. Training that covers federal, state and local laws regarding medical credentialing also needs to be included in the training program. Board certification requirements and regulations, as well as appointment and privileging rules, must also be a part of all staff credentialing coordinator training.

Health Care Administration

Health care administration procedures, techniques and systems are important modules to be included in medical staff credentialing coordinator training. Learning about storage, access and disposal of confidential information must also be included in the training program. Reporting requirements and proper security procedures need to be included in the training program. Training in how to use online verification systems and a working knowledge of spreadsheet programs and maintenance are also vital elements for a successful program. Colleges, universities and vendors often offer both classroom and online programs for health care administration.

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