Responsibilities

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.’ Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

The UHS Corporate Compliance Department is hiring a Compliance Generalist to coordinate compliance and privacy issues at all UHS facilities in conjunction with and at direction of the UHS Chief Compliance and Privacy Officer (UHS CCO).

Key Responsibilities include:

• Conduct facility auditing and monitoring consistent with UHS Compliance Program to all Divisions and Business Lines of the Company
• Conduct the annual, and periodic reviews of professional fee billing for all providers
• Perform focused reviews of other specialty areas within UHS, and other special projects to include, but not limited to, assisting in the creation of specialty specific education sessions
• Prepares materials, appropriate research and audit in order to conduct meaningful New Provider Education sessions
• Performs comprehensive medical record reviews to ensure the presence of all required elements of documentation to reflect the services/treatment rendered to the patient
• Performs focused medical reviews in response to internal/external allegations related to coding and billing compliance
• Utilize audit results to provide data driven feedback to providers and managers
• Performs systematic review of office processes, and outpatient records to ensure that documentation supports all billed services delivered by the providers
• Review and analyze facility responses to ensure regulatory compliance. Prepare report memoranda of auditing and monitoring program results. Prepare trainings and other presentations for division operations leadership to review audit results, identified areas of opportunity and education on regulatory requirements, risks and guidance on implementation of compliant processes and procedures
• Assist Compliance Administrator and/or Compliance Analyst with anonymous hotline complaints as determined by volume of operations and department needs as determined by department and company needs. Provide support of all compliance department operations and in support of UHS CCO, Director of Compliance & Privacy and/or Division Compliance Officers as determined by department and company needs

Qualifications

Bachelor's degree with a minimum of 5 - 8 years' compliance experience.

• CPC Certification Required or to be obtained within 3 months of hire
• Experience in conducting coding and compliance audits of healthcare providers and processes
• Demonstrate a clear understanding of medical terminology, Current Procedural Terminology (CPT), and Payor/Medicare (Federal) requirements
• Working knowledge of practice processes as it relates to physicians, and advanced practice practitioners
• Experience in developing and making presentations to providers, leadership and employees
• Strong communication, organizational, collaboration and time management skills
• Ability to multi-task and interact with all levels of company employees
• Experience with information systems conversions; excellent computer skills on various systems

This opportunity provides a rewarding career, challenging and rewarding work environment as well as growth and development opportunities within UHS and its subsidiaries, including competitive compensation, excellent Medical, Dental, Vision and Prescription Drug Plan, and 401k with company match.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449