Research Billing Compliance Specialist - Vanderbilt Ingram Cancer Center

Job Summary

Captivates Vanderbilt University Medical Center by coordinating with departments to develop billing plans ensuring financial compliance in research, under occasional guidance.

Department Summary

VICC - Clinical Trials 220 is a leader in cancer prevention, diagnosis, and treatment. VICC is a National Cancer Institute-designated Comprehensive Cancer Center.

Preferred Skills and Experience

• Bachelor's degree
• 2+ years of relevant experience

Key Responsibilities

• Aids in developing and implementing compliance and financial audits of clinical research.
• Maintains reporting, education, and training for research billing compliance.
• Develops processes to transmit and coordinate billing information through regulatory and compliance teams.
• Assists in reviewing financial records, contracts, and other information necessary to ensure compliance with billing requirements.

Technical Capabilities

• Regulatory Compliance (Intermediate): Demonstrates knowledge of appropriate rules and regulations and applies them in difficult, stressful, and complex situations.
• Coding Knowledge (Fundamental Awareness): Ability to assign and interpret ICD-10-CM/PCS coding classification systems and MS-DRG and APR-DRG prospective payment and severity systems.
• Problem Solving (Intermediate): Uses critical thinking and process improvement; coaches and mentors development of problem statement, describes current state, identifies root causes, creates future state, coaches and mentors development of solutions and action plans with a sustainability plan. Applies appropriate tools to address issues.
• Clinical Knowledge (Intermediate): Knowledge of patient care including patient assessment and treatment, care planning, patient education, and evidence-based practice. Understanding of medical terminology and documentation.
• Revenue Cycle (Fundamental Awareness): Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.

Core Accountabilities

• Organizational Impact: Independently delivers on objectives with understanding of how they impact the results of own area/team and other related teams.
• Problem Solving/Complexity of work: Utilizes multiple sources of data to analyze and resolve complex problems; may take a new perspective on existing solutions.
• Breadth of Knowledge: Has advanced knowledge within a professional area and basic knowledge across related areas.
• Team Interaction: Acts as a "go-to" resource for colleagues with less experience; may lead small project teams.

Core Capabilities

• Serving Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.
• Solving Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.
• Offering Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness.
• Ensuring High Quality: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.
• Ensuring Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them.
• Fulfilling Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring.
• Managing Resources Effectively: Demonstrates accountability; demonstrates a sense of ownership, focusing on and driving critical issues to closure. Stewards organizational resources; applies understanding of the departmental work to effectively manage resources for a department/area. Makes data-driven decisions; demonstrates strong understanding of the information or data to identify and elevate opportunities.
• Fostering Innovation: Generates new ideas; proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches. Applies technology; demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges. Adapts to change; views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.

Position Qualifications

• Responsibilities: None provided.
• Certifications: None provided.
• Work Experience: Relevant work experience not specified.

Benefits

• Comprehensive benefits package including health, disability, retirement, and wellness offerings.

About the Role

At Vanderbilt Health, you can make a difference. A career at Vanderbilt University Medical Center is more than a job - it's a calling. You'll help contribute to our commitment of "Putting Patients First®" and to our core values of caring, integrity, innovation, equity, and excellence.