Job Information

Sanford Health Research Coverage Specialist - Compliance in Fargo, North Dakota

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

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Facility: Scandia Building
Location: Fargo, ND
Address: 717 4th St N, Fargo, ND 58102, USA
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00

Department Details

Knowledge of diagnostic and procedural terminology, medical terminology, or human anatomy/physiology, and experience with CPT/HCPCS/ICD-10 coding is preferred. Knowledge of applicable Federal, State, and Local laws and billing regulations is also preferred.

Job Summary

Creates Coverage Analyses (CAs) for all studies that involve human subjects’ research to ensure compliance with laws, rules and regulations for coding and billing, including review of study protocols and budgets originating with Pharma partners, the NCI Community Oncology Research Program (NCORP) and Sanford Investigator-Initiated Research. Provides quality assurance checks for externally completed Coverage Analyses. Assists Research IT with completion of patent study calendar builds within the Sanford Research Clinical Trial Management System, Velos. Presents approved Coverage Analysis to Sanford Research Business Compliance Team for review and approval. In addition, reviews research claims billed through the electronic health records system to ensure consistency with approved coverage analyses.

Qualifications

Bachelor’s degree required.

Minimum of two years’ experience in clinical research, coding or clinical trial billing preferred.

Benefits

Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, sick leave and paid time off. To review your benefit eligibility, visit https://sanfordhealth.jobs/benefits .

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Job Function: Research
Req Number: R-62717
Featured: No