University of Kentucky
Overview
Posting Details
Job Title
Medicare Coverage Analyst Sr
Requisition Number
RE51979
Working Title
Clinical Trials Coverage Analyst Sr
Department Name
40133:Clinical Research Support Office
Work Location
Lexington, KY
Grade Level
46
Salary Range
$25.01-41.25/hour
Type of Position
Staff
Position Time Status
Full-Time
Required Education
BA
Required Related Experience
4 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
Fully Remote. Monday – Friday, 8:00am to 5:00pm with occasional early or late meetings required.
Job Summary Shape the Future of Clinical Research Administration at the University of Kentucky
Wildcat Wisdom, Kentucky Innovation – Supporting Discoveries, Transforming Outcomes!
Why Join Us?
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.
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: https://www.uky.edu/hr/employment/working-uk/equivalencies
Responsibilities This role 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. The role 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.
Qualifications 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
Does this position have supervisory responsibilities?
No
Preferred Education/Experience
Work experience in a clinical setting that includes research coverage analysis, clinical research budgeting, clinical research management, and/or medical coding or billing
Experience in disease areas including oncology, cardiology, neurology, etc. are preferred
CA certification or training in OnCore, Epic or coding is also preferred
Deadline to Apply 11/13/2025
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.
The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status.
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.
Other Information Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Business Development and Sales
Industries
Higher Education
Ready to Make a Difference in Clinical Research Administration? 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.
Driving Clinical Research Excellence – Apply Today!
#J-18808-Ljbffr
Job Title
Medicare Coverage Analyst Sr
Requisition Number
RE51979
Working Title
Clinical Trials Coverage Analyst Sr
Department Name
40133:Clinical Research Support Office
Work Location
Lexington, KY
Grade Level
46
Salary Range
$25.01-41.25/hour
Type of Position
Staff
Position Time Status
Full-Time
Required Education
BA
Required Related Experience
4 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
Fully Remote. Monday – Friday, 8:00am to 5:00pm with occasional early or late meetings required.
Job Summary Shape the Future of Clinical Research Administration at the University of Kentucky
Wildcat Wisdom, Kentucky Innovation – Supporting Discoveries, Transforming Outcomes!
Why Join Us?
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.
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: https://www.uky.edu/hr/employment/working-uk/equivalencies
Responsibilities This role 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. The role 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.
Qualifications 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
Does this position have supervisory responsibilities?
No
Preferred Education/Experience
Work experience in a clinical setting that includes research coverage analysis, clinical research budgeting, clinical research management, and/or medical coding or billing
Experience in disease areas including oncology, cardiology, neurology, etc. are preferred
CA certification or training in OnCore, Epic or coding is also preferred
Deadline to Apply 11/13/2025
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.
The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status.
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.
Other Information Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Business Development and Sales
Industries
Higher Education
Ready to Make a Difference in Clinical Research Administration? 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.
Driving Clinical Research Excellence – Apply Today!
#J-18808-Ljbffr