Coverage Analyst (Fully Remote)

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

• Responsible for completing coverage analysis tasks to support efficient startup for site clients.
• Focus on interpreting clinical trial protocols and Medicare policies to determine billing.
• Work collaboratively with teams to ensure accurate coverage determinations.
• Read and analyze clinical trial protocols and develop activity grids.
• Interpret Medicare polices, clinical practice guidelines, and related documents.
• Use software to identify CPT/HCPCS codes and review work for quality.

Qualifications:

• Bachelor's degree in related field or equivalent experience.
• At least 1 year of professional experience with attention to detail.
• Proficient in Excel and strong investigative skills.

Why WCG:

• We offer comprehensive health and financial protection including medical, dental, vision.
• We provide resources for work/life balance and investment in your growth.
• Enjoy paid holidays, vacation, sick time, and career development opportunities.

WCG

WCG delivers transformational solutions that accelerate clinical research and advance human health. They invest in their people and foster a culture of growth and empowerment.