Kentucky Staffing
Medicare Coverage Analyst Sr (Clinical Trials Coverage Analyst Sr)
The University of Kentucky's Clinical Research Support Office (CRSO) is seeking a dedicated and skilled Medicare Coverage Analyst Sr (Clinical Trials Coverage Analyst Sr). This vital role supports and enables groundbreaking clinical research across the University. About the Role: This position is eligible to be fully remote. 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 the context 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. Skills / Knowledge / Abilities: Clinical Trial Protocol knowledge, medical coding or billing, medical terminology, attention to detail, ability to work independently, collaboration, strong competency in Microsoft Office programs, detailed understanding of the Epic billing system, proficient in OnCore MCA and Calendar consoles Preferred Education/Experience: It is preferred that the candidate have work experience in a clinical setting that includes research coverage analysis, clinical research budgeting, clinical research management, and/or medical coding or billing. Candidates with coding knowledge in specific disease areas including oncology, cardiology, neurology, etc. are preferred. CA certification or training in OnCore, Epic or coding is also preferred. Deadline to Apply: 10/29/2025 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. Ready to Make a Difference in Clinical Research Administration? Are you ready to take the next step in advancing clinical research and innovation? Join us in UK's Clinical Research Support Office as the next dedicated Medicare Coverage Analyst Sr (Clinical Trials Coverage Analyst Sr) and play a pivotal role in supporting groundbreaking projects that shape the future.
The University of Kentucky's Clinical Research Support Office (CRSO) is seeking a dedicated and skilled Medicare Coverage Analyst Sr (Clinical Trials Coverage Analyst Sr). This vital role supports and enables groundbreaking clinical research across the University. About the Role: This position is eligible to be fully remote. 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 the context 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. Skills / Knowledge / Abilities: Clinical Trial Protocol knowledge, medical coding or billing, medical terminology, attention to detail, ability to work independently, collaboration, strong competency in Microsoft Office programs, detailed understanding of the Epic billing system, proficient in OnCore MCA and Calendar consoles Preferred Education/Experience: It is preferred that the candidate have work experience in a clinical setting that includes research coverage analysis, clinical research budgeting, clinical research management, and/or medical coding or billing. Candidates with coding knowledge in specific disease areas including oncology, cardiology, neurology, etc. are preferred. CA certification or training in OnCore, Epic or coding is also preferred. Deadline to Apply: 10/29/2025 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. Ready to Make a Difference in Clinical Research Administration? Are you ready to take the next step in advancing clinical research and innovation? Join us in UK's Clinical Research Support Office as the next dedicated Medicare Coverage Analyst Sr (Clinical Trials Coverage Analyst Sr) and play a pivotal role in supporting groundbreaking projects that shape the future.