Top 3 Coding analyst Jobs in Galveston, Tx

Trials Coverage Analyst, Research Administration (Galveston)
UTMB Health —Galveston, TX
- 5 years
- Bachelor's degree
- Military encouraged
9d
Senior Programmer Analyst
American National Insurance —League City, TX
- Full-time
- Mid-level
- Office
- Java
- Health savings account
- Paid holidays
Sr Programmer Analyst III
American National Insurance —League City, TX
- $149,718 - $181,600 a year
- Full-time
- Computer Science
- 5 years
- Research
- Health savings account
- Paid holidays
8d

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Trials Coverage Analyst, Research Administration (Galveston)

UTMB Health -
Galveston, TX

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Job Details

9 days ago

Qualifications

Contract documentation review
Contract review
Medicare
Accounts receivable management
5 years
CMS
Coding for hospital billing
Financial issue resolution
Clinical research protocol review
CMS regulatory compliance
Bachelor's degree
Charge capture (medical billing)
Medicare regulations
Clinical trial standard operating procedures
Research administration
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medical claims submission
Medical billing account reconciliation
Insurance provider collaboration
Research regulatory compliance
Billing issue inquiries
Research budget management
Epic
Senior level
Training
Standard operating procedures (SOPs)
Financial compliance monitoring
Communication skills
Policy Development
Invoice dispute resolution

Full Job Description

EDUCATION & EXPERIENCE

Minimum Qualifications:

Bachelor’s degree or equivalent, five years of related experience

Preferred Qualifications:

Medical coding

JOB SUMMARY

Provides centralized administrative review of clinical trial agreements, study protocols, informed consent documents, and budgets to ensure Principal Investigators and other billing entities comply with federal and state regulations for clinical research billing.

Scope: NA

ESSENTIAL JOB FUNCTIONS

Determine whether proposed clinical trials qualify as defined in all relevant national coverage decisions.
Acts as a resource and assists Principal Investigators, study coordinators, and budget analysts in determining that all costs for clinical studies are included in the study budget and are appropriate and/or accurate.
With input from the principal investigators and study coordinators, the proper allocation of items and services between routine and research costs is determined, and methods are set up to bill accordingly. This responsibility includes the following tasks: ensuring budget worksheets identify appropriate billing parties, reviewing financial agreements with UTMB contracts specialists and, if necessary, collaborating entities, and ensuring financial consistency between research agreements and study protocols.
Ensures that relevant sections of the informed consent document conform to CMS billing rules.
Assists in mandatory training courses for faculty and personnel involved in clinical research when necessary.
Coordinates the development of Standard Operating Procedures (SOPs) for all entities involved with clinical research billing.
Assists in the development of monitoring plans for billing-related activities.
Generates billing grids with applicable CPT and/or other codes in the Institution’s Clinical Trial Management System.
Remains knowledgeable and up to date with current FDA and Medicare guidelines for clinical trial billing
Maintains a complete portfolio of accounts receivable throughout the revenue cycle, including charge review, account work queues, claim edits, and claim submission.
Reviews charges in Epic and Epic-generated reports to identify standard-of-care, research-related, or indeterminate services.
Follows federal and state regulations to ensure compliance standards are met.
Review research patient accounts to ensure research charges are routed appropriately.
Communicate with Revenue Cycle teams, payors, and others to resolve account discrepancies or errors;
Participates in meetings, as needed, to address potential payor concerns
Other duties as assigned

Marginal or Periodic Functions:

Adheres to internal controls and reporting structure.
Performs related duties as required.

KNOWLEDGE/SKILLS/ABILITIES

Working knowledge of Epic and OnCore systems
Communication skills
Problem-solving skills
Critical Thinking

Salary Range:

Commensurate with experience.

EQUAL EMPLOYMENT OPPORTUNITY:

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

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coding analyst jobs in galveston, tx

Trials Coverage Analyst, Research Administration (Galveston)

Senior Programmer Analyst

Sr Programmer Analyst III

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