Medical Coding and Billing Specialist (Clinical Research)

Minneapolis heart institute foundation•Minneapolis, MN

2d•$55,000 - $65,000

About The Position

At the Minneapolis Heart Institute Foundation (MHIF), a Medical Coding and Billing Specialist (Research Business Services Specialist I) plays a key role in maintaining the financial accuracy and operational integrity that support groundbreaking cardiovascular research, education, and patient care. In this role, you do more than process or manage billing—you ensure timely reimbursements, uphold compliance standards, and provide the financial insight that strengthens MHIF’s mission to advance heart health and save lives. Job Summary: The Medical Coding and Billing Specialist (Research Business Services Specialist I) supports financial compliance and operational efficiency in support of the Minneapolis Heart Institute Foundation’s mission and the financial integrity of the organization’s clinical research portfolio. This role is responsible for reviewing clinical trial billing, conducting coverage analyses, and ensuring adherence to federal, state, and institutional regulations and requirements. Ideal candidates for this role have a strong background in healthcare billing and coding and clinical research operations, with a focus on accuracy and compliance.

Requirements

Associate’s degree in accounting, finance, business, or related field, or equivalent combination of education and experience.
2+ years of experience in clinical research billing, revenue cycle management, or research finance.
Knowledge of medical billing and coding, including CPT/HCPCS coding, NCT numbers, and routine v. research costs.
Familiarity with Medical guidelines, clinical trial agreements, and informed consent billing language.
Familiarity with insurance coverage determinations.
Proficiency in MS Office suite, with strong Excel skills.
Proficiency in EHR systems (e.g., Epic) and CTMS platforms (e.g., RealTime, OnCore)
Strong analytical thinking, communication, organization, and customer service skills.

Responsibilities

Manage overall process for revenue and expenses tracking for clinical research studies.
Oversee day-to-day activities for research study financial management, including invoicing, cash application, and accounts receivable management.
Perform Medicare Coverage Analysis (MCA) for portfolio of new and ongoing clinical trials.
Review, process, and reconcile clinical trial-related charges to ensure proper billing to sponsors, payers, and/or patients, in partnership with key stakeholders.
Consult clinical research staff to review complex patient billing encounters.
Serves as key contact for management of research billing compliance issues, serves as subject matter expert with respect to research billing, provides guidance and training to staff as needed.
Review and process subject travel, accommodations, and stipends.
Review and process other study expenses, including IRB invoices, pharmacy, lab, and other ancillary charges, and administrative expenses.
Facilitate financial clearance and prior authorizations for patient visits as needed.
Enter administrative revenue activities into Clinical Trial Management System (CTMS) platform.
Support Finance receivables management, system inquiries, and reporting, as needed.
Utilize EMR, Finance, and CTMS platforms to track research-related services and billing.
Partner with key stakeholders to prevent double billing and ensure compliance with CMS, FDA, and HIPAA regulations.
Other duties as assigned – this position may support other functions as required by business need. This job description represents the major functions of the position but is not intended to be all-inclusive.