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Health Information Partners Inc.

Per Diem / Project-BasedHealth Information Partners&reg; (HIP) is seeking an experienced Clinical Trial &amp; Research Billing Specialist to support healthcare organizations with auditing clinical trial billing, reviewing research billing compliance processes, and evaluating research revenue cycle workflows.This per diem / project-based role is ideal for a professional with deep experience in clinical trial billing compliance, Medicare Coverage Analysis, and research charge review who enjoys identifying risk areas and helping organizations strengthen their research billing practices.Key Responsibilities<ul><li>Conduct audits of clinical trial billing and research-related claims to ensure compliance with federal regulations and payer requirements.</li><li>Review Medicare Coverage Analyses (MCA), billing grids, and study protocols to validate appropriate billing of routine care vs. research-only services.</li><li>Evaluate research billing workflows and internal controls across research administration, compliance, and revenue cycle functions.</li><li>Identify potential compliance risks related to clinical trial billing, including duplicate billing, sponsor vs. payer responsibility, and documentation gaps.</li><li>Prepare audit reports and findings with clear recommendations for improvement.</li><li>Collaborate with compliance, research administration, and revenue cycle leaders to strengthen research billing processes and controls.</li><li>Remain current on regulatory guidance including Medicare Clinical Trial Policy (NCD 310.1), CMS guidance, and OIG enforcement trends related to research billing.</li></ul>Qualifications<ul><li>5+ years of experience in clinical trial billing, research billing compliance, or research revenue cycle operations</li><li>Strong knowledge of Medicare Coverage Analysis, billing grids, and clinical trial billing regulations</li><li>Experience performing clinical trial billing audits or compliance reviews</li><li>Familiarity with hospital or academic medical center research programs</li><li>Ability to review clinical trial protocols and determine appropriate billing pathways</li><li>Strong analytical, documentation, and communication skills</li></ul>Preferred Credentials<ul><li>CHC (Certified in Healthcare Compliance)</li><li>CPC, CPMA, or other relevant coding/compliance credential</li></ul>Experience with Epic Research or other clinical trial billing systemsAbout Health Information Partners: At HIP, we are dedicated to excellence in health information management. Our team values collaboration, professionalism, and the unique skills each member brings to the table. We strive to create a positive and rewarding work environment for all our employees.How to Apply: If you&rsquo;re ready to bring your expertise to a dynamic and supportive team, we&rsquo;d love to hear from you! Submit your application and updated resume to Careers@hip-inc.com today.Application Question(s):<ul><li>1. Clinical Trial Billing Experience</li></ul>Please briefly describe your experience with clinical trial or research billing, including the types of organizations you have supported (e.g., hospital, academic medical center, research institute).<ul><li>2. Medicare Coverage Analysis &amp; Billing Grid Experience</li></ul>Which of the following areas have you worked with? (Select all that apply) ☐ Medicare Coverage Analysis (MCA) ☐ Clinical trial billing grids ☐ Protocol vs. claim review ☐ Sponsor vs. payer responsibility determinations ☐ Clinical trial billing audits<ul><li>3. Research Billing Audit Experience</li></ul>Have you conducted clinical trial or research billing audits or compliance reviews? ☐ Yes ☐ No If yes, please briefly describe your role.<ul><li>4. Systems Experience</li></ul>Which systems have you used related to research billing? (Select all that apply) ☐ Epic Research / Epic Beacon ☐ OnCore ☐ Cerner / Oracle Health ☐ Other research billing tools ☐ Manual billing grid / spreadsheet tracking<ul><li>5. Credentials</li></ul>Please list any relevant certifications or credentials you currently hold (e.g., CHC, CPC, CPMA, CCRP, CHRC, RHIA, RHIT, etc.).<ul><li>6. Pay Expectations</li></ul>What is your expected hourly rate for a per diem / consulting engagement?<ul><li>7. Availability</li></ul>Please describe your current availability for project-based work (approximate hours per week and start availability).Work Location: Remote

Clinical Trial & Research Billing Specialist (Audit & Compliance)

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Clinical Trial & Research Billing Specialist (Audit & Compliance)