Research Billing Compliance Specialist - Vanderbilt Ingram Cancer Center

Discover Vanderbilt University Medical Center:  Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization:

VICC - Clinical Trials 220

Job Summary:

Coordinates with departments to develop billing plans to help ensure financial compliance in research, under occasional guidance.

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Department Summary:

Vanderbilt-Ingram Cancer Center (VICC) is a leader in the prevention, diagnosis and treatment of cancer. The centers world-renowned team of experts provides an integrated, personalized and  patient-centered approach to cancer care, including treatment, research, support, education and outreach. With a wide variety of wellness programs, patients find support from diagnosis through survivorship. VICC is a National Cancer Institute-designated Comprehensive Cancer Center. Here is a link to our website - http://www.vicc.org/

Preferred Skills and Experience:

• Bachelor's degree
• 2+ years of relevant experience

KEY RESPONSIBILITIES

• Assists with developing and implementing compliance and financial audits of clinical research.

• Creates and maintains the reporting, education, and training for research billing compliance.

• Develops processes to transmit and coordinate billing information through regulatory and compliance teams.

• Assists in reviewing financial records, contracts, and other information necessary to ensure compliance with billing requirements.

• The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES

• Regulatory Compliance (Intermediate): Demonstrates knowledge of the appropriate rules and regulations and apply them in difficult, stressful and complex situations. Able to interpret and explain rules and regulations that are ambiguous or unclear. Directs others in interpreting rules and regulations on the job and trains others in them.

• Coding Knowledge (Fundamental Awareness): Ability to assign and interpret ICD-10-CM/PCS coding classification systems and MS-DRG and APR-DRG prospective payment and severity systems.

• Problem Solving (Intermediate): Uses critical thinking and process improvement i.e. coaches and mentors development of problem statement, describes current state, identifies root causes, creates future state, coaches and mentors development of solutions and action plans with a sustainability plan. Applies appropriate tools to address issues.

• Clinical Knowledge (Intermediate): Knowledge of patient care including patient assessment and treatment, care planning, patient education and evidence based practice. Understanding of medical terminology and documentation.

• Revenue Cycle (Fundamental Awareness): Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.

Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.

At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.

Core Accountabilities:

Organizational Impact: Independently delivers on objectives with understanding o