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The University of Kansas Health System · 2 months ago

Clinical Trial Financial Analyst

United States

Full-time

Remote

Mid Level

3+ years exp

The University of Kansas Health System is seeking a Clinical Trial Financial Analyst who will be responsible for coordinating and creating coverage analyses for clinical trials in compliance with CMS regulations. The role involves performing billing and budget analysis, collaborating with financial analysts, and developing billing matrices to ensure accurate financial management in clinical trials.

Clinical TrialsEducationEmergency MedicineHealth Care

Growth Opportunities

Responsibilities

Creates coverage analysis grids and analyzes the performance of the actual coverage analysis, using CMS regulations, FDA guidance, Good Clinical Practice guidelines, and ethical policies when performing coverage analyses

Researches and applies policies, guidance, and guidelines from various sources including federal and state regulatory agencies and The University of Kansas Hospital policies

Responsible for the dissemination of relevant documents and information to various parties

Performs basic and complex billing and budget analysis in accordance with CMS regulations for all clinical trials performed at The University of Kansas Hospital and affiliates

Serves as liaison to the budget & financial analysts at the KUMC Research Institute and the KU Cancer Center Clinical Trials Office, collaborating closely to ensure that the clinical trial budget, coverage analysis, and billing matrix are all consistent and appropriate

Develops billing matrices and coverage analyses including reviewing each potentially billable item within the clinical trial and citing specific resources for the justification of appropriate designations

Applies the appropriate CDM and CPT code for potentially-billable items in the coverage analysis in order to assist Patient Financial Services in the management of claims review, as well as identifying items that are to be billed to the study sponsor by the KUMC Research Institute

Assists as needed with claims review in distinguishing research charges billed to the study versus those that may be billed to insurance payors

Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department

These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required

Qualification

Clinical Research BillingBudgetingMedicare Coverage AnalysisEpic experienceClinical Trial Management SystemsCertified Professional CoderResearch Billing ComplianceMedical TerminologyExcelWordPowerPointEnglish

Required

High School Graduate

3 or more years of experience in Clinical Research Billing and/or Billing Compliance

2 or more years of experience in Budgeting and Medicare Coverage Analysis Development

Preferred

Bachelors Degree in related field from an accredited college or university

Epic experience

Experience with electronic Clinical Trial Management Systems

Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)

English

A demonstrated understanding of Research Billing Compliance including National Coverage Determination for coverage of routine costs and the CMS Clinical Research Policy

A demonstrated knowledge of regulatory, financial and administrative requirements of Medicare and third party billing of clinical trials - Proficient in Excel, Word, PowerPoint

Proficiency in Medical Terminology