Revenue Cycle Systems Architect

Job Summary

The Revenue Cycle Systems Architect is responsible for the design and optimization of the revenue cycle systems that support our FQHC customers. This role ensures that Epic and integrated revenue systems operate as a cohesive, compliant, and scalable system enabling accurate charge capture, clean claim generation, effective remittance processing, and dependable financial reporting.

Responsibilities

• Create and maintain sustainable processes in Epic, including charge build, error resolution, and revenue enhancement
• Conduct audits of charge routing workflows and implement corrective actions to eliminate recurring issues
• Act as the primary Epic Professional Billing (PB) and charge router subject-matter expert for revenue cycle initiatives
• Build and refine Epic workqueues, charge router rules, claims edits, handler tasks and PB configuration
• Partner with IT and Epic support (CTC) to troubleshoot issues, develop enhancements, and support system upgrades
• Lead testing strategies (Integrated charging and Scenario testing) to validate system build and ensure accuracy
• Identify process and technology improvements to improve the effectiveness and efficiency of revenue cycle operations
• Provide consulting services to individual FQHCs to identify areas of focus to improve revenue cycle operations
• Develop dashboards and reporting tools to track key revenue integrity metrics, such as denials and charge accuracy
• Provide detailed analysis and insights to leadership, recommending improvements to optimize revenue cycle performance
• Monitor denial patterns and lead cross-functional corrective action plans in collaboration with Billing/AR
• Support payer transitions, FQHC expansions, and new revenue cycle initiatives
• Develop training programs focused on documentation standards, Epic workflows, coding accuracy, and payer compliance
• Collaborate with Billing/AR, Finance, Clinical, Compliance, and IT teams to ensure consistent and compliant revenue cycle practices
• Collaborate with internal and external constituents to execute improvements
• Serve as a trusted advisor across departments, leveraging in-depth system knowledge to enhance operational efficiency
• Analyze data to identify opportunities for revenue growth and process enhancements
• Work closely with vendors and other third parties to facilitate timely and accurate data capture and collections
• Represent the billing department in audits, meetings, and organizational planning sessions
• Consistently provide service excellence to all patients, family members, visitors, volunteers, and co-workers in a manner that reflects C3’s mission and core values
• Contribute to shaping the vision for C3 as the preferred resource for an affordable and efficient MSO in Billing and Credentialing

Qualifications

• Bachelor’s degree in healthcare administration, business, finance, or a related field preferred
• Minimum of 5 years of Epic implementation and build experience
• Must have a strong commitment to quality assurance and exceptional customer service
• A strong commitment to the organization’s mission