Epic PB Analyst

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $75 - $85 / hour

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 20%

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Logo of Superlanet

Superlanet

51 - 200 employees

Founded 2017

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

Superlanet is a healthcare-focused advisory and staffing firm specializing in providing Employer of Record services and multi-state workforce solutions. The company is committed to delivering expert recruiting and staffing solutions tailored to the healthcare sector, ensuring its clients have access to qualified professionals in a timely manner. Superlanet emphasizes its unique values and commitment to quality service, making it a trusted partner in the healthcare workforce management.

📋 Description

• Lead the transition of applicable Optum Claims Manager edits to Epic charge review edits • Analyze, configure, test, and optimize Epic charge review edits to support accurate and compliant billing workflows • Build and maintain regulatory and coding-related edits, including LCD/NCD, CCI/NCCI, and MUE • Perform Epic Charge Router cleanup and optimization, identifying outdated, redundant, or inefficient rules and configurations • Evaluate charging workflows and recommend opportunities to improve automation, accuracy, and efficiency • Configure and optimize Professional Billing workqueues supporting charge review and billing operations • Troubleshoot charge routing, edit, and workqueue issues and identify root causes • Partner with Revenue Cycle, Coding, Compliance, and operational stakeholders to translate regulatory and business requirements into Epic build • Lead assigned workstreams independently, including requirements gathering, build, testing, validation, documentation, and implementation • Support knowledge transfer and documentation to ensure long-term maintainability of updated Epic workflows

🎯 Requirements

• Active Epic Resolute Professional Billing Administration certification required • Strong hands-on Epic Resolute Professional Billing build and configuration experience • Demonstrated experience with Epic Charge Router, including rule configuration, troubleshooting, cleanup, and optimization • Strong understanding of charge review edits, charging workflows, and PB workqueues • Hands-on experience implementing or maintaining healthcare regulatory and coding edits, including LCD/NCD, CCI/NCCI, and MUE requirements • Experience translating billing and regulatory requirements into Epic configuration • Strong understanding of the revenue cycle and the relationship between charging, coding, claims, and billing workflows • Ability to independently lead complex Epic PB initiatives from analysis through implementation • Strong communication skills with the ability to collaborate effectively with technical, operational, coding, compliance, and Revenue Cycle teams • Previous experience transitioning edits or functionality from Optum Claims Manager into Epic preferred • Experience with large-scale Charge Router cleanup or optimization initiatives preferred • Experience reducing reliance on third-party claims or billing tools by moving functionality directly into Epic preferred

🏖️ Benefits

• Six-month contract opportunity • Remote position • Pay rate based on experience and qualifications

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