Compliance Coordinator - Research Billing Compliance - Patient Financial Services

Iowa Health Care department of Patient Financial Services is seeking a Compliance Coordinator in Research to promote and support policies and procedures to implement and maintain compliant research billing processes for clinical trials and research studies conducted by University of Iowa research investigators.

This position is primarily a combination of remote and onsite (hybrid) work locations.  Remote work must be performed at an offsite location within the State of Iowa.  Training will be held either on ONSITE at the HSSB building or via zoom, with location and length of training determined by the supervisor.  Remote eligibility will be evaluated upon a satisfactory job training opportunity.  Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location.

Iowa Health Care—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives.®

WE CARE Core Values:

• Welcoming - We have an environment where everyone has a voice that is heard; that promotes the dignity of our patients, trainees, and employees; and allows all to thrive in their health, work, research, and education.

• Excellence - We achieve and deliver our personal and collective best in the pursuit of quality and accessible health care, education, and research.  
• Collaboration - We collaborate with health care systems, providers, and communities across Iowa and the region as well as within our UI community. We believe teamwork—guided by compassion—is the best way to work.
• Accountability - We behave ethically, act with fairness and integrity, take responsibility for our own actions, and respond when errors in behavior or judgment occur.  
• Respect - We create an environment where every individual feels safe, valued, and respected, supporting the well-being and success of all members of our community.  
• Empowerment - We commit to fair access to research, health care, and education for our community and opportunities for personal and professional growth for our staff and learners. 

Position Responsibilities:

• Develop and support program objectives of the Research Billing Compliance program.

• Coordinate submission of research billing materials received from research investigators; prepare documents for review and analysis related to research billing compliance. Contact the research study team and/or Principal Investigator as necessary to clarify information in study protocols, consent documents, budgets, etc.

• Conduct Medicare coverage analyses and develop research billing plans for clinical trials conducted at UI Health Care.

• Perform detailed analysis of Epic charge accounts, reviewing which charges are related to the study, which are billable to insurance, and which are billable to the study, relative to the research billing plan. Apply Medicare and institutional billing requirement/regulations to the charge review. Identify variances between actual charges received and expected charges, based on the research billing plan.

• Counsel and provide information to research investigators regarding the University of Iowa research billing policy and procedures, and Medicare/other third-party research billing rules. Train and educate research investigators on compliant research billing procedures.

• Serve as liaison to research investigators and to personnel in the Division of Sponsored Programs, the Human Subjects Office, and Patient Financial Services on issues related to research billing compliance.

• Perform administrative tasks for the Research Billing Compliance program, including receiving and responding to emails and phone calls, preparing correspondence, and managing both paper and electronic files.

• Maintain and monitor an internal research billing database of clinical trials; prepare occasional reports.

• Perform auditing activities of clinical trials to ensure compliance with research billing regulations and policies.

Classification Title: Compliance Coordinator

Department:  Patient Financial Services (Research)

Salary Range: 3B

Percent of Time: 100%

Location: Hospital Support Services Building (HSSB) located in Coralville, IA

This position is primarily a combination of remote and onsite (hybrid) work locations.  Remote work must be performed at an offsite location within the State of Iowa.  Training will be held either on ONSITE at the HSSB building or via zoom, with location and length of training determined by the supervisor.  Remote eligibility will be evaluated upon a satisfactory job training opportunity.  Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location.

Equipment:

• Onsite – The department will provide a workstation which contains 3 (three) monitors, laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies can be found in the supply closet.

• Hybrid – while working onsite, the department will provide a workstation which contains 3 (three) monitors, a laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies. When working offsite, the employee will take their laptop/power cord to carry back and forth, a second docking station/power cord to keep offsite. Prior to working offsite, the employee, at their own expense, will need to supply 2 (two) monitors, a keyboard, a mouse, and provide a screen shot of the domicile internet speed (minimum 30mb download and 10mb upload) and a picture of the office setup.

• Remote - when working offsite, the department will provide the employee a laptop/power cord, docking station/power cord, headset. Prior to working offsite, the employee, at their own expense, will need to supply 2 (two) monitors, a keyboard, a mouse, and provide a screen shot of the domicile internet speed (minimum 30mb download and 10mb upload) and a picture of the office setup.