Research Billing Compliance Specialist (RN or CCRP/CCRC)
Reporting to the Assistant Director, Research Billing Compliance, the Research Billing Compliance Specialist:
Will input/review/submit eligibility documentation into data capture systems for portfolio of studies to identify and resolve any registration discrepancies;
Abstracts information from the Electronic Medical Record for multiple studies;
Notifies Research Nurses across departments of patients on multiple studies and imports research patient registration forms;
Reviews/updates EPIC for research patients who have completed studies;
Assigns D&H accounts for appropriate charge capture;
Works closely with Principal Investigator and Research Nurse to resolve patient billing errors; audits studies confirming charges and distributions are accurate.
5 years' experience in clinical research
Strong communication, presentation and organization/planning skills
Strong data and analysis skills producing complicated queries over Oracle and SQL databases
Exposure to technical documentation and standard change management processes
General programming experience
Implementation experience of Healthcare applications in a complex environment
Business Analysis skills working with customers to develop solutions involving People, Process and Technology
Owns assigned responsibilities without the need for close supervision
Participates in on-call support with team
Proficient in Excel and can quickly learn new systems that support the primary functions of clinical trials management and hospital billing revenue cycle
Detailed-oriented, methodical and goal driven
Registered Nurse Licensure or CCRP or CCRC Certification required
Working knowledge of Clinical Research guidelines and Grants
Excellent computer skills and knowledge of databases/systems
Ability to multitask retaining focus and detailed oriented
Experience with Revenue Cycle and Charge Capture
Strong knowledge of Medicare Guidelines relevant to clinical trials billing
Experience in clinical trial contracting, budgeting and negotiations
Experience with EPIC Research Module and implementation with a Clinical Trials Management System (CTMS)
Knowledge of billing requirements related to clinical trials at academic institution
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VUMC Recent Accomplishments
Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:
* US News & World Report: #1 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Children's Hospital at Vanderbilt named as one of the Best Children's Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked.
* Healthcare's Most Wired: Among the nation's 100 "most-wired" hospitals and health systems for its efforts in innovative medical technology.
* Becker's Hospital Review: named as one of the "100 Great Hospitals in America", in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.
* The Leapfrog Group: One of only 10 children's hospitals in the to be named at Leapfrog Top Hospital.
* American Association for the Advancement of Science: The School of Medicine has 112 elected fellows
* Magnet Recognition Program: Received our third consecutive Magnet designations.
* National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement
* Human Rights Campaign Healthcare Equality Index: 6th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.
Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period. Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties. Vanderbilt University Medical Center is world renowned because of the innovation, work ethic and collegiality of its employees. From our health care advances to our compassionate care, Vanderbilt owes its accomplishments and reputation to staff and faculty who bring skill and drive and innovation to the medical center day after day. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries and transformational educational and clinical advances across the entire spectrum of health and disease.As t...he largest employer in middle Tennessee, we welcome those who are interested in ongoing development in a caring, culturally sensitive and professional atmosphere. Most of us spend so much of our lives at work, we want to be part of maintaining a workplace in which people support one another and encourage reaching for excellence. Many high-achieving employees stay at Vanderbilt because of the professional growth they experience and because of their appreciation of Vanderbilt’s benefits, public events and discussions, athletic opportunities, beautiful setting and, above all, sense of community and purpose.Vanderbilt and its employees share a set of mutual expectations that have been created with productivity, legality, fairness and safety always in mind. We believe that our investment in training and compensating employees multiplies in value when we enable individuals to deliver their best performance for the benefit of us all.