Summary
Overview
Work History
Education
Skills
Timeline
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Kendra Carlston

Salt Lake City,UT

Summary

Adept at spearheading research billing compliance initiatives, I significantly enhanced research billing accuracy at Intermountain Healthcare. My expertise in protocol review and risk assessment, coupled with a talent for cross-functional coordination, led to notable process improvements. My leadership in training development and audit coordination underscores my commitment to excellence and collaborative problem-solving.

Overview

12
12
years of professional experience

Work History

Research Billing Compliance Coordinator

Intermountain Healthcare
Murray, UT
04.2022 - 01.2025
  • Conducted thorough risk assessments for clinical trials, with billable services.
  • Evaluated clinical trial protocols, lab manuals, and budgets to identify potential risks.
  • Identify potential research charges not outlined in the schedule of assessments in the protocol.
  • Collaborated with research departments to inform budgeting teams of CMS billing updates.
  • Audit billable procedures and visits pertaining to studies with CMS and revenue cycle software.
  • Coordinate with compliance team to resolve recurring billing errors.
  • Developed process enhancements for research billing compliance by examining errors and locating control weaknesses in revenue cycle billing groups.
  • Develop training materials and processes for research billing compliance.
  • Review generated reports to identify trends and problems within research billing.
  • Maintain current knowledge of CMS and internal best practices for research coding and billing.
  • Understand and educate research staff on NCD 310.1.
  • Ensured research cover analysis and budget compliance with all federal, state, and local laws, national guidance, and regulations related to research billing.
  • Ensured thorough review and approval of Medicare coverage analysis in partnership with PI and manager.
  • Assisted in the conversion process to EPIC from the current EMR system, ensuring adherence to billing compliance requirements.

Client and Research Billing Team Lead

Intermountain Health/ R1 RCM
Salt Lake City, Utah
03.2013 - 04.2022
  • Facilitated open communication with clients and research coordinators to ensure correct accounting practices.
  • Contributed to formulating effective billing procedures alongside Intermountain Health.
  • Cultivated and oversaw partnerships with research coordinators across Intermountain Health and the University of Utah.
  • Managed documentation, invoicing, and patient account corrections for clinical trials.
  • Verified research account pricing through detailed coverage analysis.
  • Conducted account holds to validate accurate billing information, patient insurance, or research study.
  • Validated current information on clinical trials using resources such as CMS.gov and ClinicalTrials.gov.
  • Resolved payment issues by communicating with insurance providers, research departments, or patients.

Education

Associate of Applied Science -

Salt Lake Community College
Salt Lake City, UT
05-2012

Skills

  • Compliance monitoring
  • Data compilation
  • Developing compliance standard practice
  • Protocol review
  • Audit coordination
  • Conducting audits
  • Cross-functional coordination
  • Document analysis
  • Document reviews
  • Risk assessment
  • Project management
  • Training development
  • Internal audits

Timeline

Research Billing Compliance Coordinator

Intermountain Healthcare
04.2022 - 01.2025

Client and Research Billing Team Lead

Intermountain Health/ R1 RCM
03.2013 - 04.2022

Associate of Applied Science -

Salt Lake Community College

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Kendra Carlston