Coordinator - Risk Management - Full Time
UHS
Summary
Maintain original signed policies and procedures, and maintain Table of Contents to ensure most current, up to date P&Ps. Track progress of revised/new P&Ps through the approval process, obtain required signatures on approved P&Ps, and track P&Ps through the approval process. Act as the liaison between malpractice lawsuits and providers, as well as Corporate Risk. Stay up to date on current litigations and incidents/occurrences within RMC.
Job description
Essential Functions
- Procure charts for Medical Record Audits and prep for monthly peer review.
- Accept summons/subpoenas/letters of intent, on behalf of RMC and Physicians. Forward notice to malpractice carrier and Medical Directors. Sequester medical records upon receipt of notice and forward copies to insurance carriers. Prepare duplicate chart for circulation. Maintain original and duplicate chart to assure both are current.
- Send out meeting notifications and assist with meeting packet preparation. Procure charts for special or focused QRM studies. Return medical records to the proper chart home base, upon completion of audits. Maintain QRM correspondence and files in a secure, organized and current state.
- Mail quarterly reports to health plans in a timely manner.
- Resolve customer complaints or forward to QM Specialist for resolution. Collect and enter statistical data in established database.
- Complete data entry in an accurate and timely manner.
- Maintain the privacy of both internal and external clients. Monitor/document HIPAA compliance/violations.
- Monitor provider open and encounters and prepare memos for fine collection.
- Any other duties requested by Manager, Quality and/or Regional Director, Quality.
Requirements
- Associates Degree or higher
- Experience with Microsoft Office (Word, Access, Excel)
- Medical training background desirable
- Risk Management experience desirable
- LVN preferred
Benefits
- Challenging work environment
- Growth and Development Opportunities
- Competitive Compensation
Company overview
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.