[Hiring] Research Billing Compliance Specialist @Vanderbilt University Medical Center

Role Description

Coordinates with departments to develop billing plans to help ensure financial compliance in research, under occasional guidance.

Qualifications

• High School Diploma or GED
• 2 years of relevant work experience

Requirements

• Assists with developing and implementing compliance and financial audits of clinical research.
• Creates and maintains the reporting, education, and training for research billing compliance.
• Develops processes to transmit and coordinate billing information through regulatory and compliance teams.
• Assists in reviewing financial records, contracts, and other information necessary to ensure compliance with billing requirements.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.

Technical Capabilities

• Regulatory Compliance (Intermediate): Demonstrates knowledge of the appropriate rules and regulations and applies them in difficult, stressful, and complex situations.
• Coding Knowledge (Fundamental Awareness): Ability to assign and interpret ICD-10-CM/PCS coding classification systems and MS-DRG and APR-DRG prospective payment and severity systems.
• Problem Solving (Intermediate): Uses critical thinking and process improvement to address issues.
• Clinical Knowledge (Intermediate): Knowledge of patient care including patient assessment and treatment, care planning, patient education, and evidence-based practice.
• Revenue Cycle (Fundamental Awareness): Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.

Core Accountabilities

• Organizational Impact: Independently delivers on objectives with understanding of how they impact the results of own area/team and other related teams.
• Problem Solving/ Complexity of work: Utilizes multiple sources of data to analyze and resolve complex problems.
• Breadth of Knowledge: Has advanced knowledge within a professional area and basic knowledge across related areas.
• Team Interaction: Acts as a "go-to" resource for colleagues with less experience; may lead small project teams.

Core Capabilities

• Supporting Colleagues:
  • Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance.
  • Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders.
  • Communicates Effectively: Modifies communication style to suit different situations and audiences.
• Delivering Excellent Services:
  • Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders.
  • Solves Complex Problems: Approaches problems from different angles and identifies new possibilities.
  • Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner.
• Ensuring High Quality:
  • Performs Excellent Work: Engages in dialogue about quality and addresses quality issues promptly.
  • Ensures Continuous Improvement: Looks beyond symptoms to uncover underlying causes of problems.
  • Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment.
• Managing Resources Effectively:
  • Demonstrates Accountability: Focuses on and drives critical issues to closure.
  • Stewards Organizational Resources: Manages resources effectively for a department/area.
  • Makes Data Driven Decisions: Identifies and elevates opportunities based on data.
• Fostering Innovation:
  • Generates New Ideas: Identifies new ideas/opportunities to improve processes.
  • Applies Technology: Enthusiastic about learning new technologies and tools.
  • Adapts to Change: Views difficult situations as opportunities for improvement.

Benefits

• Comprehensive benefits package which may include health, disability, retirement, and/or wellness offerings.