Epic Certified Applications Analyst III – Claims (Revenue Cycle)

About the role

This is a Claims position requiring either Hospital or Professional Claims certification/accreditation, preferably both, with bonus points for Hospice experience. An Epic Claims Analyst manages and optimizes the claims processing system, analyzing, troubleshooting, and enhancing workflows to ensure accurate and efficient claims submission, processing, and reimbursement. The role involves working with billing teams, IT staff, and clearinghouse software to resolve issues and improve operational efficiency. Strong knowledge of Epic's claims modules, healthcare billing, and regulatory compliance is essential.

Responsibilities

• Leads implementation projects for the EHR, and system optimization efforts to improve overall efficiency, and end-user experience.
• Conducts complex system configurations and supports advanced troubleshooting to ensure system stability, performance, and usability of Epic applications by end-users.
• Delivers end-user training and creates comprehensive documentation to ensure proper system usability and overall support knowledge sharing across teams.
• Develops and manages dashboards, reports, and extraction of data to remain aligned with organizational, and clinical reporting requirements.
• Partners with cross-functional teams manage major EHR upgrades, requests for enhancements, testing cycles, and change management initiatives to drive performance improvement.
• Provides oversight to ensure compliance with all applicable Healthcare regulations such as: Health Insurance Portability and Accountability Act (HIPAA), The Joint Commission (TJC), and company policies and procedures.
• Serves as an escalation point for junior analysts, and SME for complex issues and incidents in Epic, while providing guidance and resolutions to the applications team.
• Provides insight and recommendations to Epic Applications leadership regarding strategies, performance metrics, and long-term system sustainability and improvement opportunities.

Minimum Qualifications

• Education: Bachelor's degree in Information Technology, Healthcare or Business Administration, or relevant field.
• Work Experience: Four (4) years of experience with an EHR, including system configuration and support. In lieu of education: Six (6) years of experience with an EHR, including system configuration and support.
• Certification: Accreditation(s) in required multiple specialties prior to start date and maintained.
• Proficient in Microsoft Office Outlook, Word, Excel, PowerPoint.
• Ability to manage small projects, lead, and mentor others.
• Advanced knowledge of Epic modules.
• Excellent communication and problem solving skills.
• Advanced skills in project management.
• Familiarity with Healthcare IT regulations.

Preferred Qualifications

• Education: Bachelor's degree in Information Technology, Healthcare or Business Administration, or relevant field.
• Work Experience: Six (6) years of experience with Epic EHR, including system configuration and support.
• Certification: Project Management Professional (PMP), Certified Scrum Master (CSM), or Certified Health Technology Specialist (CHTS).

Physical Requirements

• Majority of time involves sitting or standing; occasional walking, bending, and stooping.
• Long periods of computer time or at workstation.
• Light work that may include lifting or moving objects up to 20 pounds with or without assistance.
• May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise.
• Communicating with others to exchange information.
• Visual acuity and hand-eye coordination to perform tasks.
• Workspace may vary from open to confined.
• May require travel to various facilities.