Medical Coordinator Piura

Description

Job Summary: A Human Medicine professional with Medical Audit training to monitor medical practice, ensure quality, and promote continuous improvement in hospital care. Key Highlights: 1. Hospital medical practice quality monitoring 2. Medical support for settlements and claims 3. Promotion of improvements and compliance with safety policies **Company Description:** Auna is a leading organization whose primary commitment is to deliver health and well-being to its affiliates and patients. We pursue constant innovation to provide high-quality, accessible health solutions for everyone. We operate in Peru, Colombia, and Mexico and have over 14,500 employees. At Auna, we implement a comprehensive, person-centered healthcare model—the most important pillar of our mission. **Job Mission:** Monitor medical practice based on the quality audit process covering documentation and medical appropriateness. **Job Responsibilities:** 1\. Medical practice monitoring – Hospital concurrent review. (Integrated General Audit/Medical Directorate): Surgical complications – DINDO CLAVIEN, Antibiotic prophylaxis in scheduled surgeries, Appropriateness of prolonged stay, Rational use of controlled antibiotics, Adverse event occurrence, Electronic health record (EHR) documentation quality. 2\. Medical support to ensure timely and accurate settlements. 3\. Specialized medical support in responding to claims arising from hospital care provided to a patient at Clínica Delgado. 4\. Collaborate with the Medical Directorate to promote identified improvement opportunities and process enhancements during concurrent review. 5\. Adhere to patient safety policies and promote compliance with Required Organizational Practices. 6\. Comply with the "Person-Centered Care Policy" or "Foster a person-centered care culture by delivering high-quality, compassionate care." **Requirements:** Human Medicine professional with Medical Audit training. Minimum two years of medical auditing experience. **Offer Conditions:****Benefits:** Formal employment registration with all statutory benefits. EPS health insurance coverage at 85% under the base plan or 75% under the Auna Corporate Health Plan, for the employee and eligible dependents. 100% oncology program coverage for the employee and eligible dependents. Corporate benefits and discount club. Half-day off on birthday. **Study Scholarship Program:** Challenge Yourself with Auna Recognition Program