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Coding and Research Compliance Specialist - Washington, D.C.
Category: Higher Education
Opportunity Type: Experienced
Country: United States
City: Washington, DC
Job Type: Full-time Salary
team of professionals, each with extensive knowledge and experience in the business of higher education and academic medical centers, delivers comprehensive services to the industry and partners with institutions to improve business performance across the enterprise. Our professionals draw from their experience working across various technology solutions, as well as strategic, financial, operational, and regulatory aspects of higher education to develop and implement the most effective solutions. Huron Education has worked with over 400 universities, academic medical centers, and research institutions to improve performance so they can continue their traditions of extraordinary achievement. The Huron Education team provides solutions across the following segments: Strategy and Operations, Research and Technology.
The Clinical Research Coding Specialist (CRCS-I) supports the Research Office team by primarily supporting the development of coverage analysis, providing medical coding training, and updating coding documentation for Click Clinical Trial Management System and the Research Office staff.
The clinical research coding role in Research Office is uniquely tasked with analyzing clinical procedures dictated in clinical trial/study protocols in order to provide accurate and prospective medical coding for the items and services required by a research study protocol using the government rules for clinical trial billing. The coding specialist completes CPT, HCPCS, and diagnosis codes for reports, known as Coverage Analyses, and used in preparation for study budgeting, contracting, informed consent form development, and charge segregation to comply with Medicare and Medicaid billing rules, mainly the Medicare Clinical Trial Policy, NCD 310.1. The coder role, while supporting the Coverage Analyst-I (CAS-I)and Coverage Analyst-II (CAS-II), will be largely tasked with medical coding of the work produced by the Research Office Coverage Analysis team (i.e, the CAS-I and CAS-II personnel), which includes providing accurate current medical codes, interacting with Research Office staff and providing clinical procedure guidance as needed, preparing and maintaining client chargemasters, analyzing coverage analysis for procedure trends and preparing reports, and assisting with internal training programs.
• Nationally recognized coding certificate, or equivalent professional experience
• Interpreting and applying Medicare Clinical Trials Policies, National Coverage Decisions, Local Coverage Decisions, limitations on coverage, medical claims coding practices and/or general clinical processes;
• Evidence of proficiency with Microsoft Word and Excel;
• Excellent time and task management skills including adhering to project work plans, budgets, and timelines;
• Excellent verbal and written communication skills;
• Strong analytical and problem solving skills;
• Must be self-motivated;
• Demonstrated resourcefulness;
• Ability to provide constructive feedback and create a supportive learning environment.
Preferred skills include:
• Proficient in hospital outpatient coding specialties – Laboratory, Radiology, Cardiology, and Oncology Services;
• Experience in coding or billing healthcare claims;
• Experience in healthcare compliance, general healthcare billing compliance, research billing, or research billing compliance;
• General knowledge of federal regulations related to medical coding and billing;
• Experience working in an administrative/ business office of a university, hospital, or research institute.
At Huron, we’re redefining what a consulting organization can be. We go beyond advice to deliver results that last. We inherit our client’s challenges as if they were our own. We help them transform for the future. We advocate. We make a difference. And we intelligently, passionately, relentlessly do great work…together.
Are you the kind of person who stands ready to jump in, roll up your sleeves and transform ideas into action? Then come discover Huron.
Whether you have years of experience or come right out of college, we invite you to explore our many opportunities. Find out how you can use your talents and develop your skills to make an impact immediately. Learn about how our culture and values provide you with the kind of environment that invites new ideas and innovation. Come see how we collaborate with each other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to make a difference in partnership with our clients, shareholders, communities and colleagues.