The individual will serve as a Financial Research Analyst for the Hillman Cancer Center.
Primary responsibilities include:
• Accurate and timely review of hospital and physician charges in Medipac and EPIC
• Interpretation of the research coverage analysis (FRIAR and Oncore schema(s) during the charge review process
• Appropriate coding of charges as routine care, conventional care or study paid and inclusion of clinical trial modifiers where applicable
• Collaborate with clinical research service (CRS) teams for clarification of clinical data when identifying conflicting or missing information.
• Communicate issues concerning clinical research billing with responsible parties throughout the University of Pittsburgh, UPMC and the Hillman Cancer Center
• Audit patient and institutional accounts to ensure compliant billing
• Utilize hospital and physician services to perform research billing corrections as needed
Ability to coordinate multiple projects and deadlines as well as be a team player is required. Focus in healthcare or healthcare related field is preferred. Prior research or compliance administration experience is preferred. Understanding of various third party, regulatory, compliance and ancillary UPMC committee guidelines. Excellent organizational, verbal, and written communication skills are required. Proficiency with computers and database software is required and excellent typing and computer navigation skills are preferred. Time management skills and the ability to work on numerous projects at one time are essential. Attention to detail and self-initiated problem solving is imperative to properly and accurately complete the fiscal process. Strong financial skills coupled with an understanding of the clinical area and the terminology used therein is a must.
Bachelor's degree; Healthcare or healthcare related field is preferred. Oncology and/or research experience strongly preferred; Understanding of various third party, regulatory, compliance and ancillary UPMC and Pitt committee guidelines preferred. Associate's degree with additional years of experience could be substituted for bachelor's degree.
Assists to serve as regulatory liaison for all clinical sites, coordinating centers, and data management centers and assists with grant approval reviews and regulatory reviews. Coordinates investigator training sessions, assists with compliance investigations, maintains databases, and collaboratively assists with developing approval guidelines to ensure institutional compliance with all regulations, policies, and applicable regulations.
Assists to serve as regulatory liaison for all clinical sites, coordinating centers, and data management centers and assists with grant approval reviews and regulatory reviews. Coordinates investigator training sessions, assists with compliance investigations, maintains databases, and collaboratively assists with developing approval guidelines to ensure institutional compliance with all regulations, policies, and applicable regulations.
Must be able to effectively and efficiently operate a computer and other office tools such as telephone, calculator, facsimile, and copy machines.