Research Billing Compliance Coordinator - Intermediate

UT Health San Antonio•San Antonio, TX

About The Position

Under general supervision, the Research Billing Compliance Coordinator reviews and routes research charges to the appropriate billing entity and ensures billing activities are accurate and appropriate. The role is responsible for ensuring research billing compliance in accordance with study coverage analysis.

Requirements

  • Bachelor's degree in a related field.
  • Three years of related experience.
  • Knowledge and understanding of research and/or clinical and billing regulations affecting clinical trials and medical research, such as NCD 310.1.
  • Extensive experience with EPIC electronic medical record systems.
  • 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, verbally and in writing.
  • Ability to professionally handle sensitive matters with confidentiality.
  • Proficiency with Microsoft Office, including strong working knowledge of Excel.
  • Demonstrated ability to use EPIC Systems and Clinical Trial Management Systems (CTMS) applications.

Responsibilities

  • Review and route research charges.
  • Review billing activities in accordance with NCD 310.1, billing regulations, and local policies and procedures.
  • Ensure accurate and timely processing of research charges.
  • Evaluate and resolve billing and adjustment errors as required.
  • Maintain current understanding of research billing regulations and requirements.
  • Review and audit research billing data for accuracy.
  • Perform other duties as assigned.
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