Research Coverage Analyst at University of Kentucky in Lexington, Kentucky

Job Description:

University of Kentucky

Equal Employment Opportunity/M/F/disability/protected veteran status.

Posting Details Posting Details

Job Title	Research Coverage Analyst
Requisition Number	RE49969
Working Title	Clinical Trials Coverage Analyst
Department Name	40133:Clinical Research Support Office
Work Location	Lexington, KY
Grade Level	45
Salary Range	$47,278-78,000/year
Type of Position	Staff
Position Time Status	Full-Time
Required Education	BA
Click here for more information about equivalencies:	https://hr.uky.edu/employment/working-uk/equivalencies
Required Related Experience	2 yrs
Required License/Registration/Certification	None
Physical Requirements	Ability to sit for long periods of time utilizing mouse, keyboard, computer and telephone. Ability to lift, push, or pull objects up to 50 lbs.
Shift	Monday – Friday, 8:00am to 5:00pm with occasional early or late meetings required. Fully Remote.
Job Summary	This is a fully remote position. The University of Kentucky Clinical Research Support Office (CRSO) provides support to investigators and study teams conducting clinical research including clinical trials. Services provided by the CRSO include maintaining a clinical trial management system (CTMS), conducting coverage analysis, developing study budgets, negotiating payment terms with sponsors, and regulatory services. The CRSO is seeking qualified candidates for a Research Coverage Analyst position. This position performs detailed reviews of complex study protocols, budgets, informed consent forms, contracts, FDA documents, and other relevant study documents to determine qualifying status according to Medicare Clinical Trial Policy, and conducts a comprehensive coverage analysis for all applicable study protocols across the enterprise. It determines what items of service are billable after reviewing Medicare Benefits Policy, relevant National Coverage Decisions (NCDs), Local Coverage Decisions (LCDs), Code of Federal Regulations, state law, professional practice guidelines, and, when necessary, consulting with the Medicare Administrative Contractor (MAC) for the region. This role is responsible for developing and delivering professional coverage analysis and financial calendars where the coverage analysis is not applicable, according to national patient care services billing standards. The position will provide guidance to study teams about proper coding and billing for procedures in the Epic system within th econtexzt of clinical research and based on the state and national standards. The role is responsible for following the UK established policies for patient care services including documentation in the medical record and documenting coverage analysis justifications. Under the direct supervision of the Director of Clinical Research Administration and Billing Integrity, the Research Coverage Analyst helps develop and refine processes to integrate the coverage analysis workflow with UKHC and UK related processes and teams. The role performs its work collaboratively with investigators, study teams, clinical research coordinators, and other research staff while serving as a resource on coverage analysis as an integral component to maintaining proper billing integrity and compliant standards. This role will also cross-train on clinical trial budget development and charge review process. The University of Kentucky uses equivalencies in determining if a potential applicant meets the minimum education and experience. Related experience can be substituted for education. Click here for more information about equivalencies: http://www.uky.edu/hr/employment/working-uk/equivalencies UK Benefits The University of Kentucky is proud to offer a benefits package that helps us recruit and retain the very best faculty and staff. In addition to your take-home pay, your benefits package is a major component of your total compensation at UK. These benefits include our 200 percent match on eligible retirement contributions; competitive health, dental, and vision coverage; tuition benefits for classes at UK, and much more. To learn more about these benefits, please visit: https://hr.uky.edu/employment/our-benefits.
Skills / Knowledge / Abilities	Insurance coverage, medical terminology and clinical knowledge, strong competency in Microsoft Office products (especially Word, Excel, PowerPoint).
Does this position have supervisory responsibilities?	No
Preferred Education/Experience	It is preferred that the candidate have work experience in clinical research that included clinical trial coverage analysis, clinical trial/research budgeting, financial management, and/or medical billing/coding. Candidates with coding knowledge in specific disease areas including oncology, cardiology, neurology etc. are encouraged.
Deadline to Apply	04/28/2025
Our University Community	We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus. As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities. Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.

Posting Specific Questions

Required fields are indicated with an asterisk (*).

1. * Describe your experience with research coverage analysis or medical coding/billing.

   (Open Ended Question)

2. * Please choose the answer that describes your amount of paid employment experience working with Epic.
   • None
   • More than 0, up through 1 year
   • More than 1 year, up through 3 years
   • More than 3 years, up through 5 years
   • More than 5 years
3. * Please indicate your years of paid work experience with clinical research management and/or clinical trials.
   • None
   • More than 0, less than 1
   • More than 1, less than 3
   • More than 3, less than 5
   • More than 5 years

Applicant Documents
Required Documents

1. Resume

Optional Documents

Equal employment opportunity, including veterans and individuals with disabilities.

PI267917099

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