Research Billing Compliance Specialist - Vanderbilt Ingram Cancer Center

Vanderbilt University Medical Center•Nashville, TN

11d

About The Position

Coordinates with departments to develop billing plans to help ensure financial compliance in research, under occasional guidance. Vanderbilt-Ingram Cancer Center (VICC) is a leader in the prevention, diagnosis and treatment of cancer. The centers world-renowned team of experts provides an integrated, personalized and patient-centered approach to cancer care, including treatment, research, support, education and outreach. With a wide variety of wellness programs, patients find support from diagnosis through survivorship. VICC is a National Cancer Institute-designated Comprehensive Cancer Center.

Requirements

Regulatory Compliance (Intermediate): Demonstrates knowledge of the appropriate rules and regulations and apply them in difficult, stressful and complex situations. Able to interpret and explain rules and regulations that are ambiguous or unclear. Directs others in interpreting rules and regulations on the job and trains others in them.
Coding Knowledge (Fundamental Awareness): Ability to assign and interpret ICD-10-CM/PCS coding classification systems and MS-DRG and APR-DRG prospective payment and severity systems.
Problem Solving (Intermediate): Uses critical thinking and process improvement i.e. coaches and mentors development of problem statement, describes current state, identifies root causes, creates future state, coaches and mentors development of solutions and action plans with a sustainability plan. Applies appropriate tools to address issues.
Clinical Knowledge (Intermediate): Knowledge of patient care including patient assessment and treatment, care planning, patient education and evidence based practice. Understanding of medical terminology and documentation.
Revenue Cycle (Fundamental Awareness): Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.
Relevant Work Experience
2 years
High School Diploma or GED

Nice To Haves

This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.

Responsibilities

Assists with developing and implementing compliance and financial audits of clinical research.
Creates and maintains the reporting, education, and training for research billing compliance.
Develops processes to transmit and coordinate billing information through regulatory and compliance teams.
Assists in reviewing financial records, contracts, and other information necessary to ensure compliance with billing requirements.
The responsibilities listed are a general overview of the position and additional duties may be assigned.