Revenue Cycle Consultant – Epic Hospital Billing

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OCHIN, Inc.

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1001 - 5000 employés

Fondée en 2000

💼 Conseil

🏥 Santé

🤝 À but non lucratif

Consulting • Healthcare • Non-profit

OCHIN, Inc. est une organisation à but non lucratif spécialisée dans le conseil en technologies de l'information de santé, collaborant avec des organisations de soins communautaires et rurales à travers les États-Unis pour promouvoir des soins équitables et intégrés. Depuis plus de 25 ans, elle offre un accès à une plateforme de dossier médical partagé et des solutions de connaissances intégrées, et fournit des services de technologie de l'information en santé, de formation des travailleurs, de conseil opérationnel et financier, ainsi que des activités de recherche et de plaidoyer pour améliorer la qualité clinique, le bien-être des médecins et la durabilité de son réseau national de prestataires de santé communautaire.

Description

• Optimize OCHIN Acute Care member revenue cycle performance by providing expert guidance, technical assistance, and training to rural hospital revenue cycle teams • Design and deliver innovative learning solutions, analyze revenue cycle operations, and implement best practices to enhance efficiency, increase collections, and improve satisfaction among patients, staff, and stakeholders • Collaborate across teams to support process improvements, facilitate system enhancements, and drive measurable outcomes aligned with OCHIN’s organizational goals

🎯 Exigences

• Minimum 10 years of Revenue Cycle and financial experience in similar or relevant role preferred • Minimum of 10 years of Revenue Cycle financial management experience in similar or relevant role in Critical Access Hospitals or Rural Healthcare Hospitals is strongly desired • Epic Certification/Accreditation/Proficiency in Epic Resolute Hospital Billing is required, or you must obtain within 6 months of hire • Experience with EHR software is required. Specifically, EPIC expertise is required in HB Resolute module is required • Experience in Prelude, Cadence, Grand Central, and EpicCare modules a plus • Must have strong Hospital Billing workflow knowledge across front end, middle, and backend processes, with the ability to coach, analyze, and evaluate current state workflows and be able to recommend and drive implemented improvements that align with OCHIN best practices and regulatory standards • Experience supporting hospital go lives, revenue cycle stabilization efforts, workflow design initiatives, and operational transformation • Must have strong knowledge of Medicare/Medicaid acute billing regulations, CMS reimbursement methodologies, and payer specific billing requirements • Must have strong technical aptitude to analyze AR data, denial trends, root cause issues, and operational metrics that impact revenue cycle performance • Experience utilizing reporting and analytic tools such as Reporting Workbench, Radar Dashboards, SlicerDicer, Clarity, Tableau, Power BI, or comparable business intelligence platforms • Working knowledge of hospital departments that impact revenue cycle performance, including Patient Access, HIM, Case Management, Utilization Review, Clinical Documentation Integrity (CDI), Revenue Integrity, and Finance • Ability to troubleshoot system build and configuration to identify and resolve workflow issues independently or in collaboration with application analyst teams • Experience leading multiple projects simultaneously, including timeline management, defining scope of work, member coordination, and delivering measurable outcomes • Ability to work in a fast paced, ambiguous environments while managing multiple member engagements simultaneously • Strong understanding of Acute Revenue Cycle KPIs (Days in AR, Self Pay days, CFB, DNB, late charges, claim lag, denial rates etc.) • Advanced proficiency in Microsoft Office Suite including Microsoft excel, Microsoft PowerPoint, Microsoft Word, Microsoft teams and Outlook • Ability to create educational materials and influence hospital leaders and billing staff on people, process, and technology changes • Ideal candidate will have deep understanding of Epic Billing functionality (Charge Capture & Revenue Integrity, Claims & Denials Management, Charge Review Work queues, Claim Edit Work queues, charge router, claims processing, etc.) • Experience working with Critical Assess Hospital (CAH) and Rural Health Hospitals is a plus • Experience supporting "Community Connect" hospitals is a plus • Change management skills and experience highly desired • Proven success in internal and external relationships with all levels of expertise from administrative to executive leadership • Must have strong consulting, facilitation, coaching, and presentation skills, including experience engaging CFOs, Revenue Cycle Directors, and hospital executives • Must have excellent interpersonal, intercultural, and customer service skills • Ability to travel as needed to support go live, onsite assessments, or stabilization efforts as needed

🏖️ Avantages

• Generous compensation package • Health insurance • Professional development opportunities • Healthy work-life balance