Epic Revenue Cycle Systems Analyst Back End
Chesapeake, VA - USA
Job Summary
- Provide advanced functional support for Epic HB PB and Claims including configuration and advisory guidance.
- Serve as the primary liaison between Revenue Cycle leadership and IT for system issues enhancements and initiatives.
- Support Professional Billing workflows including charge capture claim edits and reimbursement processes.
- Troubleshoot complex end-to-end revenue cycle issues across billing claims and payment processes.
- Coordinate with Epic Community Connect partners for build requests testing and system changes.
- Partner with leadership to improve billing accuracy claim timeliness denial prevention and reimbursement outcomes.
- Analyze front-end mid-cycle and back-end workflows to align Epic functionality with best practices.
- Support initiatives focused on clean claims DNFB reduction denial management and payer compliance.
- Participate in system upgrades projects and optimization efforts impacting revenue cycle performance.
- Support Claims functionality including edits clearinghouse processes payer rules and ERA workflows.
- Ensure compliance with Medicare Medicaid and commercial payer requirements.
- Collaborate with HIM Compliance and Revenue Integrity to align documentation coding and billing.
- Analyze revenue cycle performance using Epic reporting tools (Cogito Clarity Caboodle).
- Develop and deliver reports and insights to support operational and executive decision-making.
- Act as a trusted advisor; lead workflow reviews facilitate sessions and provide end-user training and support.
- Cadence
- Charge Master
- Clarity
- Cogito / Caboodle
- Grand Central
- Hello World
- HIM
- Hospital Billing
- Identity
- MyChart
- Prelude
- Professional Billing
- Referrals and Authorizations
- Epic Resolute Hospital Billing (HB)
- Epic Resolute Professional Billing (PB)
- Epic Prelude
- Epic Health Information Management (HIM)
- Epic Cogito / Caboodle
- Epic Cadence
- Epic Clarity
- Epic Grand Central
Required Experience:
IC
About Company
Chesapeake Regional Healthcare is a health system laser-focused on innovation, known for making medical history in the region and providing patients with truly personal care. Its hospital, Chesapeake Regional Medical Center, is the only independent, community-based acute care hospital ... View more