Research Billing Compliance Coordinator - Intermediate

Under general supervision, reviews and routes research charges to the appropriate billing entity, ensuring billing activities are accurate and appropriate.  Responsible for ensuring research billing compliance in accordance with study coverage analysis.

• Knowledge and understanding of research and/or clinical and billing regulations affecting clinical trials and medical research (e.g. NCD 310.1).
• Extensive experience with EPIC electronic medical record.
• Familiarity with hospital and professional billing.
• Experience with Medicare Coverage Analysis, ICD-10, CPT codes and research billing modifiers.
• Knowledge of financial tracking systems including Accounting and Clinical Trial Management Systems (CTMS).
• Self-motivated problem solver with strong analytical skills.
• Ability to communicate effectively, both verbally and in writing.
• Ability to professionally handle matters of a sensitive nature with confidentiality.
• Proficiency with Microsoft Office skills with strong working knowledge of Excel.
• Shown ability in utilizing EPIC Systems.
• Knowledge of NCD310.1.
• Knowledge of Medicare Coverage Analysis.
• Shown Ability to utilize Clinical Trial Management Systems (CTMS) applications.

Education:

• Bachelor's degree in a related field is required.

Experience:

Three (3) years of related experience is required.  

• Under general supervision, reviews and routes research charges.
• Reviews billing activities in accordance with NCD 310.1, billing regulations, local policies and procedures.
• Ensures accurate and timely processing of research charges.
• Evaluates and resolves billing and adjustment errors as required.
• Maintain current understand of current billing research billing regulations and requirements.
• Reviews and audits research billing data for accuracy.
• Performs all other duties as assigned.