Sr. Clinical Research Billing Compliance Analyst

University of Chicago • Chicago, IL

62d • $60,000 - $90,000 • Onsite

About The Position

The Office of Clinical Research (OCR) is the nucleus of the clinical research enterprise, providing services, training, tools and compliance oversight to support the conduct of clinical research across the entire Biological Sciences Division and University of Chicago Medicine human subject research portfolio. The mission of the Office of Clinical Research is to catalyze clinical research by providing expertise, resources, infrastructure, and systems that facilitate clinical research operations and enable collaboration across the enterprise while promoting compliance and human subject protection on behalf of our diverse community of patients and volunteers. Together, we elevate the human experience with knowledge and health care. The Sr. Clinical Research Billing Compliance Analyst is an integral member of the Office of Clinical Research. Under the direction of the Associate Director Research Billing Compliance, the Sr. Clinical Research Billing Analyst will promote and facilitate a culture of financial compliance through using the regulatory and financial amendments to clinical research studies in an effort to ensure institutional adherence with Federal, State, and Local Regulations and Guidelines. Activities include but are not limited to supporting research revenue cycle management through research billing review, processing payments, reviewing and preparing research billing documentation, and producing research financial reporting, as well as department projects and initiatives to support research billing compliance tasks as needed. The job coordinates projects in monitoring the operating and capital budgets for divisions and/or University-wide administrative units. At the instruction of others, performs work that contributes to development of long and short term financial goals, business strategies/plans, and financial forecasts/models for major service programs and initiatives. Utilizes moderate knowledge of finance to help coordinate quarterly and year-end reporting for the operating budget.

Requirements

• Minimum requirements include a college or university degree in related field.
• Minimum requirements include knowledge and skills developed through 2-5 years of work experience in a related job discipline.

Nice To Haves

• 2-4 years' experience with healthcare clinical research billing preferably in academic medical setting, clinical research management, health system operations.
• Experience with Epic Research Billing functions.
• Experience with a Clinical Trial Management system (CTMS) preferably OnCore, financial software, ERP systems.
• Accounting and finance experience strongly preferred.
• Knowledge of the Medicare Clinical Trials Policy and other federal, state and institutional clinical research regulations.
• Expertise in CPT, Modifiers, ICD, and PCS codes to support billing and compliance efforts.
• Strong knowledge of clinical trial contracting, revenue recognition principles, and relevant regulatory guidelines (e.g., ICH-GCP).
• Excellent attention to detail and analytical skills, with a focus on accuracy in financial operations.
• Strong communication and interpersonal skills for effective collaboration with cross-functional teams and external partners.

Responsibilities

• Perform all research billing activities including, but not limited to: daily charge review, billing issue resolution, reconciliation and payment of research accounts.
• Conduct research billing quality assurance activities, such as individual patient billing audits, study audits, device audits and validation of data and information contained within institutional systems (e.g., Epic, IRB system, clinical trial management system, etc.).
• Assist in the development and design of training and resource materials related to research billing and financial management in collaboration with others in the office.
• Follow standard operating procedures and policies to ensure compliant research billing as mandated by regulatory agencies (FDA, OHRP, OIG, CMS).
• Generates Epic and CTMS reports for analysis, monitoring and improving research billing metrics and processes.
• Effectively collaborates with Clinical Trial Financial Group, Hospital Revenue Cycle team, study teams, research subjects, IRB, and other stakeholders to address research billing challenges.
• Ensure institutional research billing compliance with Medicare's Clinical Trial Policy, federal regulations, and contractual agreements. Maintain an understanding of Medicare's Clinical Trial Policy (NCD 310.1) and related guidance documents.
• Assist in developing and maintaining polices, SOPs & SOWs related to clinical research billing process.
• Stays current on all internal processes related to research billing, Medicare, National and local, regulations and guidelines, policies and procedures governing Research billing.
• Provides professional support as a primary account administrator for account owners in an intensive customer service environment.
• Analyzes and prepares budgets, creates accounts, and works with the financial accounting system to allocate, authorize, monitor, and control expenses.
• Prepares monthly reports, conducts and correct errors in accounts using existing procedures that are in place, and provides advice on the financial impact of human resources and academic affairs decisions.
• Performs other related work as needed.

Benefits

• The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off. Information about the benefit offerings can be found in the Benefits Guidebook.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Educational Services
• Number of Employees: 5,001-10,000 employees