Coverage Analyst: Clinical Trials & Medicare Coding

WCG; United States; Remote; USD 60,000 - 80,000; Full time

Benefits offered by this job

Health, dental, vision insurance

Work-life balance resources

Career development opportunities

Paid holidays, vacation, sick time

Job summary

WCG is seeking a coverage analyst in the United States to support site clients by evaluating clinical trial coverage and determining appropriate billing practices. You will interpret Medicare policies and clinical guidelines, collaborating with cross-functional teams to ensure accurate determinations.

The role requires analyzing protocols, developing grids, and using coding software to identify CPT/HCPCS codes while maintaining quality review standards.

Qualifications

• Bachelor's degree or equivalent experience required.
• Minimum 1 year of professional experience with attention to detail.

Responsibilities

• Complete coverage analysis tasks to support startup for site clients.
• Interpret Medicare policies and clinical guidelines to determine billing.
• Collaborate with teams to ensure accurate coverage determinations.
• Read and analyze clinical trial protocols and develop activity grids.
• Use software to identify CPT/HCPCS codes and review work for quality.

Skills

Excel

Investigative skills

Education

Bachelor's degree in related field or equivalent experience

Tools

CPT/HCPCS coding software

Job description

WCG is seeking a coverage analyst in the United States to support site clients by evaluating clinical trial coverage and determining appropriate billing practices. You will interpret Medicare policies and clinical guidelines, collaborating with cross-functional teams to ensure accurate determinations.

The role requires analyzing protocols, developing grids, and using coding software to identify CPT/HCPCS codes while maintaining quality review standards.