Apply on Employer Site

McKesson · 1 day ago

Compliance Audit Manager – Clinical Research

Dallas, TX

Full-time

Hybrid

Mid, Senior Level

4+ years exp

McKesson is a leading healthcare company, and they are seeking a Compliance Audit Manager – Clinical Research. The role involves conducting audits of research billing at oncology practices to ensure compliance with ethical standards and regulations, while also enhancing the Research Billing Compliance program.

BiopharmaBiotechnologyHealth CareInformation TechnologyPharmaceutical

No H1B

Responsibilities

Abstract and perform research billing audits of charge data using medical records to validate that charges were billed in accordance with company billing guides and Medicare requirements (as applicable)

Document results and corrections in a clear manner, accurately and concisely providing supporting evidence from the medical record and/or other references

Assist in developing an annual risk-based audit plan, and complete audits within the defined audit schedule timeline

Prepare audit reports of findings and recommendations for improvement for internal review and communicate results to business, research site and Compliance leadership

Collaborate with the Research Operations group to ensure audit findings are accurate and translate into actionable education for the network, where appropriate

Maintain an up-to-date working knowledge of Medicare requirements for billing routine charges for research participants

Ensure strict confidentiality of patient information

Qualification

Auditing experienceClinical researchMedical TerminologyMicrosoft 365Data analyticsAnalytical skillsOrganizational skillsDetail-orientedIndependent work

Required

Degree or equivalent

4+ years of relevant experience

4+ years of auditing experience and relevant experience in clinical research

Demonstrated knowledge of Medical Terminology and Anatomy & Physiology combined with expertise in federal payor guidelines/third-party payer reimbursement, coding, and documentation requirements

Ability to understand and follow department standard operating procedures relating to billing and coding audits

Proficient in Microsoft 365 applications

Ability to work independently and proactively

Extremely detail-oriented with superior organizational and analytical skills

Ability to use data and analytics to advance compliance audit program efficiency and effectiveness

Ability to conceptualize results of billing and coding audits to identify patterns, trends, and variations in coding, documentation practices, operational workflows, and billing practices

Must be authorized to work in the US. Sponsorship is not available for this position