What are the responsibilities and job description for the Clinical Research Coverage Analyst position at The MetroHealth System?
Location : METROHEALTH MEDICAL CENTER
Biweekly Hours : 80.00
Shift : 8-4 : 30
The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being : affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County's safety-net health system operates four hospitals, four emergency departments and more than 20 health centers.
Summary :
Contributes to compliant research billing practices by making determinations of qualifying clinical trial (QCT) status and performing detailed coverage analysis (CA). Promotes and supports accurate billing and practices to be compliant with Medicare and third-party payment rules. Helps streamline research study activation and ensure compliance with all federal / state and local regulations. Overall responsibility for the day-to-day study maintenance in the Epic Research Module including adding studies, building study visit calendars, creating Epic Smart Sets, training users, and ensuring proper patient visit bill processing. Upholds the mission, vision, values, and customer service standards of The MetroHealth System.
Qualifications : Required :
- Bachelor's degree in a related field and 4 years of relevant experience in research billing, compliance, and / or direct involvement with sponsored clinical trials.
- In lieu of degree, at least 6 years of relevant experience in research billing, compliance, and / or direct involvement with sponsored clinical trials.
- Experience with electronic medical record (EMR) systems.
- Ability to read and comprehend complex materials.
- Detail oriented with ability to independently research source materials and develop reasonable approaches to issues as they arise.
- Excellent verbal and written communication skills.
- Understanding of human subjects research and good clinical practice.
- Familiarity with medical terminology.
- Ability to problem solve, multi-task, work with interruptions, and be an effective listener.
- Knowledge of Health Care Financing Administration (HFCA) billing practices, and health care issues effecting billing and reimbursement.
- Proficiency with personal computers and various software applications, to include Microsoft Office Suite and the ability to do sophisticated internet searches.
- Ability to interact effectively with a wide range of cultural, ethnic, racial, and socioeconomic backgrounds.
Preferred : 1-2 years' direct experience completing coverage analysis.Experience with EPIC EMR and its research module.
Physical Requirements : May sit, stand, stoop, bend, and ambulate intermittently during the day. May need to sit or stand for extended periods.See in the normal visual range with or without correction.Hear in the normal audio range with or without correction.Finger dexterity to operate office equipment required. May need to lift, up to twenty-five (25) pounds on occasion.Ability to communicate in face-to-face, phone, email, and other communications.Ability to see computer monitor and departmental documents
