Associate Director, Research Billing Compliance
University of ChicagoAbout the role
Department
About the Department
The mission of the Office of Clinical Research is to catalyze clinical research by providing expertise, resources, infrastructure, and systems that facilitate clinical research operations and enable collaboration across the enterprise while promoting compliance and human subject protection on behalf of our diverse community of patients and volunteers. Together, we elevate the human experience with knowledge and health care.
Job Summary
Responsibilities
Oversee day to day operations of all aspects of the charge review process within the Clinical Research Revenue Cycle and provide oversight to Clinical Research Billing Compliance team.
Intuitional Subject Matter expert for Research billing workflows; provides guidance on research billing regulations and best practices.
Creates opportunities for research billing training for research investigators and staff; leads development and design of training and guidance materials related to research billing and financial management in collaboration with CTFG & OCR training & education.
Perform and oversee internal quality assurance & audits of research accounts to ensure billing compliance, coordinate research billing audits with Internal Audit team for the financial audit process for compliant research billing.
Maintain Institutional Research Charge Master and provide research staff with codes, costs, and fees to construct study budgets.
Generates Epic and CTMS reports for analysis, monitoring and improving research billing metrics and processes.
Effectively collaborates with Clinical Trial Financial Group, Hospital Revenue Cycle team, study teams, research subjects, IRB, and other stakeholders to address research billing challenges.
Ensure institutional research billing compliance with Medicare's Clinical Trial Policy, federal regulations, and contractual agreements. Maintain a detailed understanding of Medicare's Clinical Trial Policy (NCD 310.1) and related guidance documents.
Develop and maintain polices, SOPs & SOWs related to clinical research billing process.
Stays current on all internal processes related to research billing, Medicare, National and local, regulations and guidelines, policies and procedures governing Research billing.
Manages the day-to-day activities of the Clinical Revenue support staff.
Maintains departmental compliance efforts by participating in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations.
Performs other related work as needed.
Minimum Qualifications
Education:
Minimum requirements include a college or university degree in related field.---
Work Experience:
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Certifications:
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Preferred Qualifications
Education:
Advanced Degree in related field, strongly preferred.
Experience:
5-7 years experience with healthcare clinical research billing, clinical research management, health system operations, strongly preferred.
Experience in an academic medical setting strongly preferred.
Experience with Epic’s Research Billing module strongly preferred.
Experience with a Clinical Trial Management system (CTMS) preferably OnCore, financial software, ERP systems, strongly preferred.
Accounting and fin
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