Research Compliance Specialist

Job Summary

A company is looking for a Research Compliance Spec Inter.

Key Responsibilities

• Perform complex daily review of clinical trial charges to ensure accurate billing and compliance
• Manage denials and billing issues, collaborating with revenue cycle billing to resolve discrepancies
• Ensure adherence to compliance regulations and institutional policies related to research billing

Required Qualifications

• Associates Degree in Business, Finance, Health Information Management, or related field, or equivalent experience
• Minimum of three years of experience in healthcare revenue cycle or clinical operations, specifically in research billing compliance
• Knowledge of CMS billing rules and Clinical Trial Policy (NCD 310.1)
• Familiarity with CPT/HCPCS coding and hospital billing processes
• Experience with electronic health record systems