Specialist - Research Compliance

About the role

This position is responsible for the review and proper adjudication of patient research bills in EPIC (Electronic Medical Record/EMR). You will utilize and understand the Medicare Coverage Analysis (MCA), as well as sponsor contract language to determine intricacies of research and routine care charges. The role involves reviewing Clinical Trial Management (CTMS) builds for accuracy against contract and budget at onset and upon amendment, and communicating with the Clinical Trials Business Operations (CTBO) team to resolve discrepancies.

Responsibilities

• Research patient billing adjudication by reviewing the MCA, contract, and CTMS for validation.
• Evaluate clinical research visits and reconcile billing accounts.
• Validate CTMS builds by reviewing against the MCA and sponsor contract.
• Work with Clinical and Finance staff on bills containing errors.
• Review charges associated with Serious Adverse Events and communicate with finance and CTBO teams for resolution and payment.
• Resolve billing discrepancies and ensure outside labs and scans are billed appropriately.
• Facilitate communication between the Program and other HonorHealth departments.
• Participate in miscellaneous projects as assigned by lead research compliance team members and the director of compliance.
• Engage in educational events with compliance team members.
• Foster collaborative partnerships and relationships with all departments within HonorHealth Research Institute.

Requirements

• Associate’s degree in a healthcare area (required).
• Bachelor’s degree in a healthcare area (preferred).
• 2 years of clinical research experience (required).

Location: Virtual - Arizona | Department: HRI-IRB/Compliance | Shift: Day