Clinical Trials Revenue Cycle Billing Compliance (Research Regulatory Oversight / Sr. Enterprise Financial Mgmt) (CHRC or CHC cert preferred) - REMOTE
Core
Perform prospective and retrospective reviews of study protocols, billing grids, and charge segregation to ensure compliance with CMS regulations for clinical trial billing to federal sponsors, grants, and insurance payors.
Role type
Senior Regulatory Oversight Specialist (Research Compliance)
Builds
Compliance frameworks for clinical trial billing and charge segregation
Domain
Healthcare / Clinical Research / Revenue Cycle
Deliverable
dashboards & analysis
Required skills
CMS regulations knowledge, Medicare Coverage Analysis, clinical trial billing, charge segregation, data analysis in Excel, Epic system navigation, regulatory auditing (via careerplan.io/jobs/R-68782-1-clinical-trials-revenue-cycle-billing-compliance-research-regulatory-oversight-sr-enterpri)
Preferred skills
CHRC certification, CHC certification, OnCore Clinical Trials Management System experience
Technologies
Epic, OnCore, Excel
Responsibilities
Lead prospective and retrospective reviews of study protocols and billing grids; Analyze compliance with CMS regulations and audit Medicare Coverage Analysis; Perform special projects related to compliance matters; Analyze data files to evaluate compliance and document findings; Present key findings and recommendations to executive level management; Evaluate clinical trials management systems and recommend enhancements.
Seniority
Senior, hands-on IC
