Clinical Research Coverage Analyst
| Company | St. Louis University |
|---|---|
| Location | St. Louis, MO, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Bachelor’s, Associate’s |
| Experience Level | Mid Level, Senior |
Requirements
- Knowledge of regulations and guidelines related to clinical research
- Working knowledge of clinical research and multiple medical conditions
- Working knowledge of Medicare/Medical billing processes
- Organizational, analytical, and decision-making skills
- Excellent verbal and written communication skills
- Ability to read and comprehend complex materials
- Detail oriented with ability to independently research source materials and develop reasonable approaches to issues as they arise
- Ability to speak to groups, conduct educational sessions, and adapt teaching styles to learners
- Ability to operate computer and various software
- Ability to maintain confidentiality
- Bachelor’s degree, supplemented with three (3) years of related experience, preferably in the field of clinical research; or Associate’s degree, supplemented with five (5) years of related experience, preferably in the field of clinical research. If the candidate does not have a degree, seven (7) years of related experience is required, preferably in the field of clinical research.
Responsibilities
- Reviews clinical trial protocols to determine if each new study is a qualified clinical trial pursuant to CMS policy; creates a detailed Coverage Analysis using clinical trial documents to designate which procedures/services may be ‘routine care’ and billable to patient insurance and which should be billed to the study sponsor based on relevant regulations and determinations.
- Acts as liaison with partnering hospital to ensure each new study is built in the electronic medical record (EMR) system: submits build forms, maintains spreadsheet of builds, requests updates / corrections as needed.
- Provides education for clinical research within the University community; conducts training sessions and develops tools and standardized policies related to the conduct of clinical research; develops a training program for the University clinical research coordinators to conduct clinical research.
- Assists with the management of clinical trials organization; attends meetings; performs other duties as assigned.
Preferred Qualifications
- 1-2 years’ direct experience completing Medicare Coverage Analysis
- Experience with research activity in an academic medical center
- CPT coding experience