Epic Hospital Billing Analyst IV

3 weeks ago


Roseville, California, United States Adventist Health Full time

Job Title: Epic Hospital Billing Analyst IV

Location: Remote

Qualifications:

  • Epic certification in Hospital Billing (HB) required.
  • 5 Years Minimum experience using Epic EMR

Position Overview:

Adventist Health is seeking a skilled Epic Hospital Billing Analyst to optimize billing workflows and ensure compliance with payer requirements. The ideal candidate will have a strong understanding of hospital billing processes, extensive experience with Epic's billing module, and proficiency in identifying opportunities for improvement in revenue cycle management.

Key Responsibilities:

  • Epic Billing System Management:
  • Utilize Epic's hospital billing (HB) module to manage and process claims.
  • Analyze and troubleshoot issues within the Epic system related to billing and claims processing.
  • Collaborate with the IT department to configure and maintain billing workflows, ensuring they align with operational needs and compliance standards.
  • Claims Analysis & Submission:
  • Ensure the timely and accurate submission of hospital claims to payers, including Medicare, Medicaid, and commercial insurance.
  • Conduct detailed analysis of claims for accuracy, completeness, and compliance with payer requirements.
  • Identify and resolve billing issues such as rejected or denied claims, working closely with coding teams to ensure proper usage of ICD-10, CPT, and HCPCS codes.
  • Revenue Cycle Optimization:
  • Work with revenue cycle teams to streamline billing processes and improve overall efficiency.
  • Identify opportunities within Epic to automate and enhance billing processes to increase revenue capture.
  • Monitor and analyze billing trends, using data to recommend improvements in workflows and systems.
  • Reporting & Documentation:
  • Generate regular billing reports from Epic to assess performance, identify discrepancies, and track revenue.
  • Maintain detailed documentation of billing processes, workflows, and any changes made within Epic.

Salary Range: $103,727 - $155,590



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