HB Certified Epic Analyst

🔥 2 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Healthrise

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚖️ Legal

📦 Logistics

Healthcare • Legal • Logistics

Healthrise is a company dedicated to providing comprehensive healthcare solutions, focusing on revenue cycle management, electronic health record (EHR) services, and strategic consulting. With over a decade of experience, Healthrise assists health systems nationwide in achieving operational and financial success through tailored strategies. Their team of experts partners with healthcare organizations to tackle complex operational challenges and enhance efficiency, ensuring both patient and financial outcomes are optimized.

📋 Description

• Design, build, test, and maintain Epic Resolute Hospital Billing (HB) configuration, including charge router rules, claims edits, and account-level workflows • Design and manage work queue structure, routing logic, and assignment rules to optimize staff productivity and claim throughput • Configure and support Bridges/BCB interfaces, statement processing, and remittance workflows • Use Slicer Dicer and Epic reporting tools to build ad hoc reports, monitor build performance, and identify workflow breakdowns • Partner with Epic PB, Cadence, and Claims teams to integrate HB build across the revenue cycle application suite • Apply CPT, ICD-10-CM, HCPCS, revenue codes, UB-04 requirements, and CMS billing guidelines to build and issue resolution • Stay current on payer-specific billing rules, CMS regulatory updates, and Epic release notes affecting HB configuration and claim accuracy • Support coding and billing quality reviews, denial root-cause analysis, and underpayment investigations • Ensure HB workflows comply with HIPAA, payer contracts, and applicable federal and state billing regulations • Support Epic HB go-lives, system upgrades, module implementations, and optimization projects • Translate end-user and business-owner needs into system specifications, test scripts, and configuration requirements • Participate in unit, integration, and regression testing; document defects and validate fixes • Maintain build documentation, SOPs, and job aids • Manage change control for assigned HB build items, including risk assessment and coordination with other Epic application teams • Serve as an escalation point for HB production tickets, work queue breakdowns, and claim edit issues • Conduct root-cause analysis on recurring billing errors, denial trends, and claim rejections • Collaborate with billing, AR, and denials staff to validate that build changes resolve operational problems • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Information Systems, Business, or a related field; or equivalent combination of education and progressive experience • Active Epic Resolute Hospital Billing (HB) certification required • Minimum 3 years of hands-on Epic HB build, configuration, or analyst experience in a live production environment • Working knowledge of UB-04 claim forms, CPT, ICD-10-CM, HCPCS, and revenue codes, and how they translate into HB build logic • Demonstrated experience with work queue design, charge router configuration, claims edits, and Bridges/BCB workflows • Familiarity with Slicer Dicer or comparable Epic reporting tools for build validation and issue investigation • Understanding of CMS billing guidelines, payer policy variation, and how regulatory change translates into system configuration updates • Strong analytical and troubleshooting skills, with the ability to isolate root cause across data, workflow, and system build • Effective written and verbal communication skills; comfortable working directly with end users, business owners, and cross-functional Epic teams • Completion of regulatory/mandatory certifications as required • Willingness and ability to travel to client or organizational sites as needed • Additional Epic certification(s) beyond HB, such as Resolute Professional Billing (PB), Cadence, or Claims/Remittance (preferred) • Industry credentials such as Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), or an HFMA-aligned certification (preferred) • Experience supporting Epic go-lives, conversions, or optimization projects in a multi-client, consulting, or BPO/outsourced RCM environment (preferred) • Exposure to revenue integrity, CDM build, or Epic-adjacent automation and AI-assisted coding tools (preferred) • Experience with Lean, Six Sigma, or other continuous improvement methodologies applied to revenue cycle workflow redesign (preferred)

🏖️ Benefits

• Clear path toward Senior Analyst, Team Lead, or Principal Consultant roles • Opportunity to build deep, marketable Epic expertise • Fully remote work arrangement