The individual will serve as an Intermediate Financial Research Analyst for the Hillman Cancer Center. Primary responsibilities include: · Accurate and timely review of hospital and physician charges in Medipac and EPIC · Interpretation of the research coverage analysis (FRIAR) and Oncore schema(s) during the charge review process · Appropriate coding of charges as routine care, conventional care or study paid and inclusion of clinical trial modifiers where applicable · Collaborate with clinical research service (CRS) teams for clarification of clinical data when identifying conflicting or missing information. · Communicate issues concerning clinical research billing with responsible parties throughout the University of Pittsburgh, UPMC and the Hillman Cancer Center · Audit patient and institutional accounts to ensure compliant billing · Utilize hospital and physician services to perform research billing corrections as needed · Training of new staff and ongoing training of existing staff · Review of complex patient accounts and high dollar institutional bills Ability to coordinate multiple projects and deadlines as well as be a team player is required.
A bachelor’s degree in related field is preferred; Associate degree plus 3 years of related experience may be substituted; focus in healthcare or healthcare related field is preferred. Minimum of 1 year of clinical research and/or compliance experience is required. Coverage analysis certification preferred. Prior research or compliance administration experience is strongly preferred. Understanding of various third party, regulatory, compliance and ancillary UPMC committee guidelines. Excellent organizational, verbal, and written communication skills are required. Proficiency with computers and database software is required and excellent typing and computer navigation skills are preferred. Time management skills and the ability to work on numerous projects at one time are essential. Attention to detail and self-initiated problem solving is imperative to properly and accurately complete the fiscal process. Strong financial skills coupled with an understanding of the clinical area and the terminology used therein is a must.
Serves as regulatory liaison for all clinical sites, coordinating centers, and data management centers and performs grant approval reviews and assists with regulatory reviews. Coordinates investigator training sessions, assists with compliance investigations, maintains databases, and develops approval guidelines to ensure institutional compliance with all regulations, policies, and applicable regulations.
Serves as regulatory liaison for all clinical sites, coordinating centers, and data management centers and performs grant approval reviews and assists with regulatory reviews. Coordinates investigator training sessions, assists with compliance investigations, maintains databases, and develops approval guidelines to ensure institutional compliance with all regulations, policies, and applicable regulations.
Must be able to effectively and efficiently operate a computer and other office tools such as telephone, calculator, facsimile, and copy machines.