Research Billing Coder

Clinical Research Billing Reviewer

Under general supervision and according to established procedures, this position will be responsible for reviewing technical and professional charges related to clinical research. This position will ensure all federal regulations and enterprise policies and procedures are adhered to with respect to billing and coding for clinical research.

Job Duties

• Ensures accurate and timely research billing review of all hospital and professional charges in accordance with the final coverage analysis
• Consults with clinical research personnel for clarification of clinical data when encountering conflicting or ambiguous information and/or missing documentation
• Communicates daily to appropriate parties regarding any issues or concerns pertaining to clinical research billing
• Works with hospital and physician services to perform research billing corrections, as appropriate
• Serves as initial point of contact regarding clinical research billing inquiries from internal business partners and escalates to supervisor, as appropriate
• Works with clinical research administrators to process interdepartmental transfers for sponsor-paid, study-related hospital and professional charges
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson

Minimum Qualifications

• High School Diploma/GED
• 2 years or more of experience in the area of billing and/or coding operations in Healthcare.
• Experience using Microsoft programs, including Word and Excel.
• Knowledge of CPT coding, third-party rules and regulations, and medical terminology.
• Experience working in electronic medical record systems required.
• CPC - Certified Professional Coder - American Academy of Professional Coders or
• CCS - Certified Coding Specialist - American Health Information Management Association

Preferred Qualifications

• Associate's Degree
• Use of Epic preferred.

Physical Demands Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University

Primary Location Address

833 Chestnut Street, Philadelphia, Pennsylvania, United States of America

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.