Position Overview
Clinical Research Billing Compliance Analyst
Location: Remote (Candidates must NOT reside in: AK, CA, CT, MS, MO, MT, NV, NM, ND, SD, WY)
Position Overview
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.
Key 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
+ Evaluate billing charges from hospital a...