Position Highlights:

Director Clinical Research Revenue Integrity is responsible for accessing, directing and coordinating all aspects of the clinical research revenue integrity department through leadership, strategic goal setting, effective communication, and successful interdepartmental collaboration. This position organizes and leads in an inter-departmental group tasked with improving hospital 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 generation. This position will serve as the technical clinical/ coding leader in research charge segregation integrity, applying expertise in ensuring compliance in all appropriate research guidelines and regulations.

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.
• Must exhibit knowledge of regulatory requirements associated with Human Subject Research.  
• Other duties as assigned.

 

Credentials and Qualifications:

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

·     Minimum six (6) years of experience in Clinical Research Revenue Life cycle operations,
including, but not limited to: coverage analysis, sponsor contracting, budget setting, calendar
certification, charge segregation, compliant billing and payor collection/ denial processes and at
least five (5) years leadership experience as a manager, director or above.  

·     Certification in Healthcare Research Compliance (CHRC) required within year of hire date.