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SalaryThe Clinical Research Charge Auditor Serve as the primary reviewer of all Clinical Research-related charges organization-wide. The position coordinates and completes line item charge review of research patient encounters in VCUHS charge systems to ensure the accuracy and completeness of charges captured for insurance and patient billing of hospital services based on the study-specific coverage analysis and budget.
Using electronic platforms, the Clinical Research Charge Auditor reviews all charges, both inpatient and outpatient that are incurred on “flagged” accounts daily to ensure that they meet proper classification and payer account eligibility requirements, determines charges/bills that are eligible for release, and directs charges to the appropriate client account for all payors.
The Clinical Research Charge Auditor provides specialized support to Clinical Research staff, practice site compliance, and research finance for Clinical Research studies.
Licensure, Certification, or Registration Requirements for Hire: N/A
Licensure, Certification, or Registration Requirements for continued employment:
Certificate required within 18 months of hire.
Coding/auditing certificate from an AAPC or AHIMA or Certificate from the Association of Clinical Research Professionals (ACRP) or from the Society of Clinical Research Associates (SOCRA)
Experience REQUIRED:
Five (5) years of medical records review and/ or coding experience in healthcare setting.
Two (2) years of research finance experience.
Proficient in Microsoft applications to include Word, Excel, PowerPoint and Outlook
Experience PREFERRED:
Seven (7) years of medical record review/coding experience in an acute care medical facility
Four (4) years of research finance experience
One (1) year supervisory/management experience
Education/training REQUIRED:
HS Diploma or equivalent
Education/training PREFERRED:
Bachelor’s Degree in Health Care Administration, Business Administration, Nursing or other related field from an accredited institution
Independent action(s) required:
Communicates effectively with internal clinical and nonclinical departments at all team member levels.
Researches, organizes, analyzes, and synthesizes data.
Manages multiple and competing task.
At all times, ensures Clinical Research compliance.
Sets goals and objectives, prioritizes work and uses available resources efficiently and effectively.
Responsible for quality improvement initiatives, audits, and department query initiatives.
Supervisory responsibilities (if applicable): N/A
Additional position requirements:
Generally works day shift, Monday through Friday, but may require flexibility for special projects
Age Specific groups served: N/A
Physical Requirements (includes use of assistance devices as appropriate):
Physical: Lifting 20 -5- lbs.
Activities: Prolonged standing, Prolonged sitting, Walking (distance), Repetitive motion
Mental/Sensory: Strong recall, Reasoning, Problem-solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking
Emotional: Fast pace environment, Able to handle multiple priorities, Able to adapt to frequent change
EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
