Epic Analyst - Billing, HIM and Health (Remote)

Epic Analyst - Billing, HIM and Health (Remote)

Posted 2 weeks ago by 1750837533

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Negotiable
Outside
Remote
USA
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Billing Content Management Systems Device Tracking Software Finance Income / Revenue Management Microsoft 365 Regression Testing Remittance Return On Investment Software Coding Stakeholder Management System Support Workflows

Summary: This role is for an Epic certified Analyst focused on the Patient Billing and Claims module at OhioMHAS, requiring expertise in designing, building, and optimizing Epic's Professional Billing and Claims modules. The position is full-time remote and involves collaboration with stakeholders to enhance billing processes and ensure compliance with regulatory standards. The Analyst will also provide system support and participate in upgrades and testing. Strong knowledge of healthcare billing and Epic certifications are essential for success in this role.

Key Responsibilities:

  • Analyze existing billing and claims workflows and configure Epic PB and Claims modules to support end-to-end revenue cycle function.
  • Design, build, test and implement new features, enhancements, and fixes within Epic PB and Claims applications.
  • Provide daily system support and issue resolution related to charge capture, claim edits, remittance processing, and denials.
  • Participate in Epic version upgrades, regression testing, and change control processes to ensure continued system reliability.
  • Ensure all build and processes align with regulatory standards (HIPAA, CMS, etc.)

Key Skills:

  • Epic Professional Billing certification
  • Understanding of healthcare billing, coding, claims processing and reimbursement workflows
  • Knowledge of payer rules, denial management, and revenue cycle KPIs
  • Certification in Epic Healthy Planet module
  • Experience in a hospital and/or clinical setting
  • Strong knowledge of HIM operations, workflows, and regulatory requirements
  • Certification in Epic HIM modules: Release of Information, Identity, Coding and Deficiency Tracking

Salary (Rate): undetermined

City: undetermined

Country: USA

Working Arrangements: remote

IR35 Status: outside IR35

Seniority Level: undetermined

Industry: IT

Detailed Description From Employer:
This position is for an Epic certified Analyst to support the Patient Billing and Claims module at OhioMHAS.
Position is full-time remote. Interviews will be conducted via Microsoft Teams
1.Job
Job Description:
Role Overview:
The Epic Analyst Professional Billing and Claims is responsible for designing, building, optimizing and supporting Epic s Professional Billing (PB) and Claims modules. You will collaborate with key stakeholders in the revenue cycle, finance, and IT teams to ensure Epic solutions are effectively meeting the agency s needs and regulatory requirements. Your expertise will directly support streamlined billing processes, accurate claim submission, and improved financial performance.
What you will do:
  • Analyze existing billing and claims workflows and configure Epic PB and Claims modules to support end-to-end revenue cycle function.
  • Design, build, test and implement new features, enhancements, and fixes within Epic PB and Claims applications.
  • Provide daily system support and issue resolution related to charge capture, claim edits, remittance processing, and denials.
  • Participate in Epic version upgrades, regression testing, and change control processes to ensure continued system reliability.
  • Ensure all build and processes align with regulatory standards (HIPAA, CMS, etc.)

2.job

Preferred qualifications:
  • Epic Professional Billing certification
  • Understanding of healthcare billing, coding, claims processing and reimbursement workflows
  • Knowledge of payer rules, denial management, and revenue cycle KPIs
REQUIRED:
  1. Certification in Epic Professional Billing and Claims 2 Years
  2. Analyze existing billing and claims workflows and configure Epic PB and Claims modules to support end-to-end revenue cycle function 2 Years
  3. Design, build, test and implement new features, enhancements, and fixes within Epic PB and Claims applications. 2 Years
  4. Provide daily system support and issue resolution related to charge capture, claim edits, remittance processing, and denials. 2 Years
Preferred qualifications:
  • Epic certification in Healthy Planet Population Health
  • Experience in a hospital and/or clinical setting
REQUIRED:
  1. Certification in Epic Healthy Planet module. 2 Years
  2. Configure, build, and maintain the Epic Health Planet module to support population health initiatives. 2 Years
  3. Collaborate with clinical and operational leaders to design workflows that support care management, preventive care, and chronic disease monitoring. 2 Years
  4. Analyze population health data and metrics to support the design and implementation of targeted care strategies 2 Years

3.job

Preferred qualifications:
  • Epic HIM certification.
  • Strong knowledge of HIM operations, workflows, and regulatory requirements.
REQUIRED:
  1. Certification in Epic HIM modules: Release of Information, Identity, Coding and Deficiency Tracking 2 Years
  2. Configure, build, test, and maintain Epic HIM modules, including Release of Information (ROI), Deficiency Tracking, Identity, and Coding. 2 Years
  3. Collaborate with HIM leadership and operational users to assess current workflows, identify improvement opportunities, and translate requirements 2 Years
  4. Ensure compliance with regulatory requirements (e.g., HIPAA, CMS, Joint Commission) in all HIM related Epic configurations 2 Years
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