Charge Capture Analyst at RWJBarnabas Health – Oceanport, New Jersey

Job Title: Charge Capture Analyst

Location: SBC Corporation

Department Name: Patient Accounts

Req #: 0000207495

Status: Hourly

Shift: Day

Pay Range: $21.69 - $30.64 per hour

Pay Transparency:

The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview:

The primary purpose of the Billing and Coding Analyst is to review, adjust, and report on clinical trial charges and claims representing research while working closely with Practice Management, registration, and ancillary hospital departments and third parties.

This position is responsible for ensuring research charges are collected and posted in accordance with Medicare Clinical Trial Policy, federal regulations, and pharmaceutical/third party contracts.

Qualifications:

Required:

• Bachelor’s degree in a relevant science or a related field (Healthcare Administration, Business, Accounting, Finance, etc.,) required.
• Minimum of one 1 year of experience with CPT coding/patient financial services required.
• Working knowledge of CPT, Modifiers, ICD and PCS required.
• At least one medical coding credential CCS, CCS-P, CPC-H or CPC is required within one year of hire.
• Solid knowledge of computer software programs such as Excel, Word, and or Access

Preferred:

• One 1 to two 2 years of experience in oncology and/or clinical research conduct preferred.

Scheduling Requirements:

• Full-Time, Day, Hourly – 40 hours a week
• Remote with travel to Oceanport, NJ as needed

Essential Functions:

• The ideal candidate will be detail orientated, have excellent organizational, communication and interpersonal skills, hold self-accountable to high standards of professional excellence, be able to maximize resources and be resourceful, seeks and accepts personal and professional responsibility on a continued basis.
• Strong communication skills, both verbal and written, for effective patient and insurance interaction.
• Ability to work independently as well as part of a team in a fast-paced environment.
• Facilitates clinical trial billing administrative start-up.
• Responsible for tracking payments and billing sponsors.
• Assists with clinical trial billing to third party payors.
• Clinical Research Billing and Regulatory Compliance
• Serves productively on Rutgers CINJ, departmental and other committees as assigned.
• Collaborates with Finance to coordinate documentation of each clinical trial account from the beginning of protocol submission to the end of the study.
• Assists management with Quality Assurance audits of research billing.
• Works with Clinical Trial Educator to provide OnCore billing training for research staff and as-needed basis for new hire employees.
• Understands and keeps current with Food and Drug Administration and Medicare regulations applicable to clinical trials.
• Understands interaction of Medicare regulations and/or third-party insurance to develop clinical trial budgets.
• Maintains up-to-date knowledge and adheres to policies and procedures set forth by RBHS, Cancer Institute of New Jersey, and all relevant regulatory bodies.
• Understands and adheres to Rutgers’ compliance standards as they appear in RBHS’s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy.
• Understands, demonstrates, and models the Rutgers Cancer Institute of New Jersey core values.
• Keeps abreast of all pertinent federal, state and Rutgers’s compliance standards as they appear in RBHS’s Corporate Compliance Policy, Code of Conduct and Interest policy.
• Performs other related duties as assigned. Serves productively on Rutgers CINJ, departmental and other committees as assigned.
• Collaborates with Finance to coordinate documentation of each clinical trial account from the beginning of protocol submission to the end of the study.
• Assists management with Quality Assurance audits of research billing.
• Works with Clinical Trial Educator to provide OnCore billing training for research staff and as-needed basis for new hire employees.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.