Clinical Trial Analyst / UMMS Job - (baltimore, maryland) in Baltimore, Maryland For Sale
Clinical Trial Analyst / UMMS
Facility: University of Maryland Medical System
Employment Type: Not Indicated
Location: Baltimore, MD Shift/Schedule: DAY
Department: CRP: RESEARCH SUPPORTADMIN
Posted FTE: 1.0
Job Posting Category: Professionals
Hours of Work: 8a:4p
Job ID : xxxx6
Benefits Eligible: Yes
Minimum Education: BS in Healthcare Admin., Medical Coding, Auditing
License/Cert Required: Not Indicated
Minimum Experience: 4 years clinical research and/or corp. contracting
Specialty Type: Not Applicable
What You Will Do:
The University of Maryland Medical System is a 12:hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, womens and childrens health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you'll enjoy as a member of our team. UMMS is currently seeking a Clinical Trial Analyst.
Under limited supervision, and with the latitude for initiative and independent judgment performs, coordinates, and manages the creation of billing analysis in accordance with the Center for Medicaid and Medicare Services (CMS) regulations and the Clinical Trial Policy for all clinical trials. The billing analysis must be compliant with the Medicare billing rules.
This position also serves as liaison with the investigators, research teams, healthcare providers, budgeting and contracting offices at UMMS and UMB, and in coordination with departmental clinical trial management processes. This position works with various systems including Epic and Oncore Clinical Trial Management systems by inputting the coverage analyses and building algorithms for a PRL (billing only protocols) in Epic for the purpose of bifurcating charges to ensure compliant billing for research services.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1. Creates coverage analysis grids and analyze the performance of the actual coverage analysis.
2. Researches and applies policies, guidance and guidelines from various sources including federal, state, UMMS and the University of Maryland Baltimore (UMB).
3. Responsible for the dissemination of relevant documents and information to various parties
4. Performs basic and complex billing and budget analysis in accordance with CMS regulations for all clinical trials performed at UMMS affiliates and FPI practice offices and clinics
5. Applies CMS regulations, FDA guidance, ethical policies when performing coverage analysis
6. Develops grids/schedule of events to serve as the basis for the coverage analysis.
7. Develops the coverage analysis including reviewing each potentially billable item within the clinical trial and citing specific resources for justification of the appropriate designations
8. Applies the appropriate CDM and/or CPT codes for potentially billable items in the coverage analysis in order to assist in the management of claims review, as well as identifying items that are to be billed to the sponsor via the budgeting and contract teams at the Office of Research and Development (ORD) at University of Baltimore (UMB).
9. Collaborates with research teams in performing the coverage analysis, as well as facilitating the clinical trial management process involving UMB, UMMS, and FPI.
10. Serves as liaison and contact with the clinical research teams and healthcare providers
11. Researche
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