Clinical Research Billing Compliance Analyst

About the Role

The Clinical Research Billing Compliance Analyst serves as a key liaison between clinical research teams and centralized billing offices. This role is responsible for ensuring accurate billing and compliance with Medicare (CMS) regulations, institutional policies, and clinical trial requirements. The analyst will review billing charges, assess compliance risks, and collaborate with cross-functional stakeholders to drive process improvements and maintain regulatory adherence.

Responsibilities

• Conduct risk assessments for clinical trials with billable services using OnCore and protocol documentation
• Review and validate medical documentation, coding, and billing for accuracy (ICD-10, CPT-4, HCPCS, modifiers) in compliance with regulatory standards
li>Evaluate billing charges from hospital and professional billing offices, ensuring proper designation and compliance alignment
• Identify discrepancies and collaborate with stakeholders (e.g., Office of Sponsored Projects) to resolve documentation and billing issues
• Review clinical trial encounters using systems such as OnCore and Epic
• Maintain detailed logs, dashboards, and audit reports; analyze trends and identify potential risk areas
• Develop and support corrective action plans with Principal Investigators and study teams
• Contribute to ongoing monitoring and enhancement of the Research Billing Compliance Program
• Generate reports and perform data analysis using clinical trial management tools
• Support training initiatives for research teams on billing compliance, coding accuracy, and regulatory guidelines
• Stay current with evolving CMS regulations and industry best practices; maintain CPC certification through CEUs

Qualifications

• Bachelor’s degree in a related field
• 3+ years of clinical research billing, charge review, or compliance experience
• Experience with clinical trial systems, protocol tracking, and reporting (OnCore required)
• Strong knowledge of protocols, ICFs, MCA, CTAs, and research billing compliance
• Proficiency in medical documentation review and coding (ICD-10, CPT, HCPCS)

Skills

• Strong analytical, problem-solving, and critical thinking skills
• Ability to manage multiple priorities independently in a fast-paced environment
• Excellent communication, stakeholder engagement, and collaboration skills
• Proficiency in Microsoft Office (Excel, Word, PowerPoint)
• Experience with coverage analysis; oncology experience a plus
• Experience with bridging clinical research and finance
• Strong presentation and conflict resolution skills

Pay

The pay range for this position is $70,000.00 - $98,000.00/yr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Benefits

• Medical, dental, and vision insurance
• Critical Illness, Accident, and Hospital coverage
• 401(k) Retirement Plan with pre-tax and Roth post-tax contributions
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation, or Sick Leave)

Location: Remote (Candidates must NOT reside in: AK, CA, CT, MS, MO, MT, NV, NM, ND, SD, WY)

Job Type: Permanent, Fully Remote

Application Deadline: Aug 31, 2026