Research Billing Compliance Analyst

weke.yale.edu

New Haven, Connecticut, US
$65,000.00 - $101,000.00 py
**
Medicare coverage analysis (mca)
Clinical trial regulatory documents
Oncore and epic systems
** Yale University is seeking a Research Billing Compliance Analyst to serve as a liaison between clinical research and billing offices, ensuring compliance with Medicare regulations and internal policies. The ideal candidate will possess strong analytical skills and experience in clinical trial billing, with a focus on enhancing billing processes and compliance. **

Job Summary

  • The Research Billing Compliance Analyst is the primary liaison with the centralized hospital and professional billing offices, reviewing charges for appropriate billing designations.
  • This role involves conducting risk assessments, evaluating medical documentation, coding and billing for accuracy, and identifying potential billing discrepancies.
  • Responsibilities include collaborating with various stakeholders to support policy development, process improvements, and training sessions to enhance billing compliance.

Matching Summary

Match Score: 75

** Yale University is seeking a Research Billing Compliance Analyst to serve as a liaison between clinical research and billing offices, ensuring compliance with Medicare regulations and internal policies. The ideal candidate will possess strong analytical skills and experience in clinical trial billing, with a focus on enhancing billing processes and compliance. **

Salary

$65,000.00 - $101,000.00

Skills & Requirements

Must-have

  • Medicare Coverage Analysis (MCA)
  • clinical trial regulatory documents
  • OnCore and Epic systems
  • ICD-10, CPT-4, HCPC and modifier placement
  • federal regulations and best practices

Nice-to-have

  • working with oncology clinical trials
  • policy development and process improvements
  • contributing to a better tomorrow

Key Requirements

  • Bachelor’s Degree in Health or Business Administration or related field
  • 3 years of experience in clinical research charge review and billing
  • Proficiency in Microsoft Office Suite

Work Rights

Not specified

Tailored Resume

Cover Letter