Compliance Audit Manager - Clinical Research

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Title: Compliance Audit Manager – Clinical Research

Hub locations: Atlanta, GA; Columbus, OH; Dallas, TX; (Preferred)

Remote/Onsite/Hybrid: Hybrid position

The Research Compliance and Ethics team is responsible for conducting audits to confirm that McKesson’s research programs and billing activities are conducted in an ethical manner and in accordance with applicable laws, rules, and regulations. The Compliance Audit Manager – Clinical Research will be responsible for conducting routine audits of research billing at McKesson’s network of oncology practices that conduct clinical research. The ideal candidate will also assist the Director, Research Compliance & Ethics with managing and enhancing the Research Billing Compliance program.

Key Responsibilities

• Abstract and perform research billing audits of charge data using medical records to validate that charges were billed in accordance with company billing guides and Medicare requirements (as applicable).
• Document results and corrections in a clear manner, accurately and concisely providing supporting evidence from the medical record and/or other references.
• Assist in developing an annual risk-based audit plan, and complete audits within the defined audit schedule timeline.
• Prepare audit reports of findings and recommendations for improvement for internal review and communicate results to business, research site and Compliance leadership.
• Collaborate with the Research Operations group to ensure audit findings are accurate and translate into actionable education for the network, where appropriate.
• Maintain an up-to-date working knowledge of Medicare requirements for billing routine charges for research participants.
• Ensure strict confidentiality of patient information.

Qualifications

• Degree or equivalent
• 4+ years of relevant experience

Critical Skills

• The ideal candidate will have 4+ years of auditing experience and relevant experience in clinical research.
• Demonstrated knowledge of Medical Terminology and Anatomy & Physiology combined with expertise in federal payor guidelines/third-party payer reimbursement, coding, and documentation requirements.
• Ability to understand and follow department standard operating procedures relating to billing and coding audits.

Additional Skills

• Proficient in Microsoft 365 applications.
• Ability to work independently and proactively.
• Extremely detail-oriented with superior organizational and analytical skills.
• Ability to use data and analytics to advance compliance audit program efficiency and effectiveness.
• Ability to conceptualize results of billing and coding audits to identify patterns, trends, and variations in coding, documentation practices, operational workflows, and billing practices.

Minimum Education & Typical Experience or Equivalent Combination:

• Degree or equivalent and typically requires 4+ years of relevant experience.

Must be authorized to work in the US. Sponsorship is not available for this position.

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.

Our Base Pay Range for this position

$79,600 - $132,600

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McKesson is an Equal Opportunity Employer

 

McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

 

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