Macquetta Waters, CPCS

Experience

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  Dooly Medical Center

  Jul 1994 - Jun 1998

  Administrative Assistant/Human Resources Director

  Conducted interviews, administered employee benefits, and payroll deductions.Maintained policy and procedure manuals, job descriptions, personnel records, and conducted monthly employee orientation for employees.Assistant to the Administrator. Performed duties such as initiating contracts for physicians, organizing the hospital authority and medical staff meetings, prepared minutes and maintained all hospital benefit contracts.Researched and developed materials or complex reports as directed.Served as credentials coordinator. Processed over 100 physician applications for appointment and re-appointment, clinical privileges and other credentials and medical staff duties. Show less

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  Piedmont Healthcare

  Jul 1998 - now

  Independently works to ensure compliance with regulatory and accrediting bodies. Meets with CMS, TJC, and DNV surveyors to answer questions regarding regulatory requirements. Educates physicians and other hosital staff members on regulatory requirements and establishes to ensure compliance to mitigate risk to the facility (e.g. negligent credentialing, discrimination).Develops and implements credentialing/privileging process and procedures. Reviews initial and reappointment applications submitted by the CVO.Identifies issues and follow up as needed with program directors, peer references, and malpractice insurance to ensure that the file is complete prior to review by the Department Chair and Credentials Committee.Reviews each application with department chair and answers question that he/she may have regarding the application. Works independently to prepare materials for Credentials Committee, Medical Executive Committee and Board meetings.Oversees development of and adherence to Medical Staff Bylaws. Serves as an advisor to facility leadership (Medical Staff and Administration) to ensure uniformity and fairness.Organizes Fair Hearing Process. Ensures the Bylaws are followed and the provider is given his/her due process to avoid potential legal action for the facility.Analyzes practitioner performance improvement and quality/peer review data to be submitted for medical staff reappointment. Prepares and manges the Emergency Department Call schedule to avoid an EMTALA risk to the facility.Determines applicant's eligibility for medical staff membership and clinical privileges. Recognizes, investigates and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources to ensure that review and approval bodies have the information needed to make informed credentialing decisions. Show less Work with reappointment team to coordinate and monitor the reappointment process for Piedmont Healthcare.Work with reappointment team to ensure that all applications are processed in accordance with Medical Staff Bylaws, Rules and Regulations, applicable policies, accreditation standards and state and federal law.Work with medical staff offices to ensure continuity of the reappointment process.Primary source verify provider credentials information.Enter data, scan and upload information into credentialing database as needed.Demonstrate proficiency in computer applications (MS Office, etc.)Maintain a great working knowledge of general/basic office skills.Assist physicians and office staff with reappointment applications as needed.Ability to show great attention to detail, excellent organizational skills while maintain strict confidentiality. Show less Performed primary source verification for physician and allied health professionals.Implemented and coordinated procedures for bi-annual reappointment process.Updated physician related databases.Educated physicians and their staff and their STAR Patient Care System.Provided support to Medical Staff Leadership.Maintained all in house CME activities reviewed and approved by the Education Committee.Communicated physician demographic data throughout the Medical Staff and the Health System.Disseminated information to physicians and their offices. Show less

  • Medical Staff Specialist - Piedmont Newnan Hospital

    Nov 2015 - now

  • Credentialing Coordinator (Central Verification Office)

    Jan 2011 - Oct 2015

  • Credentialing Specialist (Piedmont Atlanta Hospital)

    Jul 1998 - Dec 2010