Clinical Research Coordinator in Orthopaedic Sports Medicine at Mass General Brigham. Responsibilities include developing research hypotheses, data analysis, and patient enrollment for studies.
About the role
- Compliance Audit Manager conducting research billing audits and managing the Research Billing Compliance program at McKesson. Engage in key audits at oncology practices ensuring ethical and lawful practices.
Responsibilities
- Conduct routine audits of research billing at McKesson's network of oncology practices
- Abstract and perform research billing audits of charge data using medical records
- Document results and corrections clearly and concisely
- Assist in developing an annual risk-based audit plan
- Prepare audit reports of findings and recommendations for improvement
- Collaborate with the Research Operations group to ensure accurate findings
Requirements
- Degree or equivalent
- 4+ years of relevant experience
- 4+ years of auditing experience and relevant experience in clinical research
- Demonstrated knowledge of Medical Terminology and Anatomy & Physiology
- Expertise in federal payor guidelines/third-party payer reimbursement
- Coding and documentation requirements
- Proficient in Microsoft 365 applications
- Extremely detail-oriented with superior organizational and analytical skills
- Ability to use data and analytics to advance compliance audit program efficiency and effectiveness
- Must be authorized to work in the US
Benefits
- Competitive compensation package
- Annual bonus or long-term incentive opportunities
- Comprehensive health insurance
- Professional development opportunities
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