Research Billing Coder

Jefferson Health Plans • Philadelphia, PA

6d

About The Position

Under general supervision and according to established procedures, the Research Billing Coder reviews technical and professional charges related to clinical research. The position ensures compliance with federal regulations and enterprise policies and procedures for clinical research billing and coding.

Requirements

• High school diploma or GED.
• At least 2 years of experience in healthcare billing and/or coding operations.
• Experience using Microsoft programs, including Word and Excel.
• Knowledge of CPT coding, third-party rules and regulations, and medical terminology.
• Experience working in electronic medical record systems.
• CPC (Certified Professional Coder) certification from the American Academy of Professional Coders or CCS (Certified Coding Specialist) certification from the American Health Information Management Association.

Nice To Haves

• Associate’s degree.
• Experience using Epic.

Responsibilities

• Review hospital and professional charges for research billing accurately and promptly in accordance with the final coverage analysis.
• Consult clinical research personnel to clarify conflicting or ambiguous clinical data or missing documentation.
• Communicate daily with appropriate parties about clinical research billing issues or concerns.
• Work with hospital and physician services to make research billing corrections, as appropriate.
• Act as the initial contact for clinical research billing inquiries from internal business partners and escalate issues to a supervisor as appropriate.
• Work with clinical research administrators to process interdepartmental transfers for sponsor-paid, study-related hospital and professional charges.
• Interact with co-workers, visitors, and other staff in a manner consistent with Jefferson’s values.

Benefits

• Medical insurance, including prescription coverage.
• Supplemental insurance.
• Dental insurance.
• Vision insurance.
• Life and AD&D insurance.
• Short- and long-term disability coverage.
• Flexible spending accounts.
• Retirement plans.
• Tuition assistance.
• Voluntary benefits, including access to group insurance rates and discounts.
• Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service.
• Medical insurance, including prescription coverage, is available to all colleagues, including those working less than part-time.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED