The Intermediate Research Billing Compliance Specialist supports the accurate review, adjudication, and processing of clinical research charges for Michigan Medicine. This role ensures charges are routed correctly in alignment with coverage analysis determinations, study billing grids, institutional policies, and applicable federal research billing regulations.
The position works closely with research teams, billing partners, and compliance staff to support compliant billing practices, timely issue resolution, and quality assurance across research billing workflows. The role also manages work queues, resolves charge and claim edits, and helps address denials related to research billing.
- Bachelor's degree in Business, Finance, Health Information Management, or a related field, or equivalent experience/certifications.
- At least 3 years of experience in a healthcare revenue cycle or clinical operations role.
- Experience in healthcare compliance, healthcare billing, research billing, or research billing compliance.
- Knowledge of CMS billing rules and regulations, including National Coverage Determinations, Local Coverage Determinations, and the Clinical Trial Policy (NCD 310.1).
- Familiarity with CPT/HCPCS coding and hospital billing formats such as UB-04 and 1500.
- Experience with electronic health record systems.
- Preferred: 5+ years of experience in professional and hospital billing, facility coding, and/or reimbursement.
- Preferred: ACRP/SoCRA or equivalent certification.
- Preferred: Familiarity with MiChart, IRB processes, E-Research, Clinical Trial Protocols, and OnCore.
- Strong analytical, organizational, and problem-solving skills.
- Ability to work in a fast-paced, high-volume environment.
- Medical, dental, and vision coverage effective on the first day.
- 2:1 retirement savings match.
- Hybrid or mobile/remote work may be available at the department's discretion.
- Opportunity to work at a large academic health system with a strong mission in research, care, and education.
Location
Michigan, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
4 weeks ago