DIR CLINICAL RSCH REVENUE INTEGRITY

H. Lee Moffitt Cancer Center

Tampa, FL

ID: 7068334 (Ref.No. hlj_26596)
Posted: July 28, 2020
Application Deadline: Open Until Filled

Job Description

 

Position Highlights:

·        Director Clinical Research Revenue Integrity plays an important role in a high-profile group tasked with improving revenue results by taking a global view of clinical research and financial processes, functions and interdependencies from the provision of clinical research related patient care to final bill(s) generation. Will serve as the technical clinical/ coding lead in research charge segregation integrity. The Director also manages the research financial reviews coordinating and appealing third party charge audits.

 

The Ideal Candidate:
  

  • Preferred - Forte Research System's Oncore Clinical Trials Management System {CTMS) knowledge.
  • Preferred - Cerner Millennium®, PowerTrials and Soarian systems knowledge.
  • Background on contract operations or billing compliance.
  • Specific knowledge of Current Procedural Terminology (CPT) code, Healthcare Common Procedure Coding System.
  • Extensive knowledge of charge creation, regulation, charge capture and reconciliation in a research

 

Responsibilities:

 

  • Oversee the management of Clinical Research Revenue Integrity Analysts and Managers (as applicable).   
  • Maintain research revenue and charge capture oversight.
  • Communicate and coordinate research financial reviews.
  •  Work with other departments to solve difficult payment and associated business office problems including claims processing and billing issues/denial rates across the research revenue cycle as well as escalated patient complaints and audits problem accounts.
  • Collaborate with other departments and track implementation of process improvement initiatives.  
  • Other duties as assigned.

 

Credentials and Qualifications:

·     Bachelor's Degree in Health-related field, Finance, Business, or a related field required.

·     A minimum of seven (7) years of health care clinical research revenue charge transparency or associated clinical research auditing experience with at least:

·     A minimum of five (5) years’ leadership experience as a manager, director or above.



Mission To create a Moffitt culture of diversity and inclusion as we strive to contribute to the prevention and cure of cancer. Vision Moffitt Cancer Center is recognized as the model wherein the diversity of our employees and communities is valued and supported as essential components to contributing to the prevention and cure of cancer. The cancer center is an equal opportunity employer. It is the policy of the cancer center to prohibit unlawful discrimination and harassment of any type and to afford equal employment opportunities to workforce members and applicants, regardless of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, marital status, disability, genetic information, veteran’s status or any other characteristic protected by federal, state or local law.



 

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