Job Description

Key Responsibilities:

Technical Financial Success Analysis:

• Monitor and analyze enterprise technical charge capture processes to ensure accurate and complete charging.
• Identify trends, anomalies, and root causes of revenue leakage or missed charges.
• Ability to perform technical audits of charge data and system interfaces to ensure compliance and charge accuracy.
• Maintain knowledge base and flowcharts pertaining to key technical revenue cycle workflows, including Epic Revenue Cycle Reporting tools.
• Maintain knowledge base of all revenue cycle integration points for each organization. Including but not limited to third party integration and internal system workflows which drive revenue cycle.

System & Data Validation:

• Collaborate with clinical application technology teams and departments to validate system-generated charges (e.g., via EHR or billing software).
• Assist in support, configuration, and maintenance of charge master and fee schedules within healthcare IT systems.
• Assist in testing system changes and upgrades to ensure revenue integrity.

Reporting & Insights:

• Generate regular reports and dashboards highlighting revenue performance, charge compliance, and financial impact.
• Coordinate routine customer-based reviews on key financial success metrics related to Epic performance.
• Present findings and recommendations to stakeholders across revenue cycle, clinical, and Information Technology leadership.

Compliance & Best Practices:

• Assist in adherence to CMS, HIPAA, and payer-specific regulations and guidelines.
• Keep up to date on regulatory changes affecting charge capture, billing, and documentation practices.
• Contribute to training and documentation related to technical revenue impacting workflows.