Revenue Integrity Operations Excellence Epic Consultant

Job Overview

Responsibilities

• Perform audits, consolidations, and standardizations of Charge Data Masters (CDM/CGT) and Revenue Integrity workflows.
• Improve charge capture accuracy through workflow assessments, coordinating coding reviews, process improvements, and report generation.
• Work closely with Information Services to complete and test charge-related builds by having a clear understanding of the charging workflows and triggers built within the EMR.
• Collaborate to assist in the development and implementation of process enhancements or initiatives that enhance charge capture accuracy and reimbursement.
• Leverage functionality of revenue cycle Epic application to increase clean claim rate, reduce denial rates and increase cash collections, through implementation of claim rules and edits and cascade information to impacted stakeholders and to Revenue Cycle Leadership.
• Use data and reports to perform root cause analysis to identify areas of opportunities to organizational revenue integrity.
• Manage complex projects related to existing and new revenue initiatives to increase reimbursement and provide support for projects.

Qualifications

• Educational Requirement: Bachelor’s degree required.
• Certifications/Licenses: Epic Certifications (Resolute HB, SBO, Charge Capture, CDM) preferred.
• Authorized to work in the US.

Skills And Competencies

• 7+ years of experience in healthcare operations related to revenue integrity, coding, finance, revenue cycle management, patient accounting and/or physician billing.
• 2+ years of experience working in an Epic environment.
• 2+ years of healthcare consulting experience.
• Proven success leading large-scale Revenue Integrity Strategic development and implementation.
• Full understanding of charging capture and charge reconciliation processes, including the electronic health record charge links to the CDM and charge capture processes to ensure compliance with government and third-party payer requirements.

Additional Information

Travel

• Weekly nationwide travel required.

At Impact Advisors

• Salary Range: $91,000 - $210,000.
• Eligible for an annual discretionary bonus.
• Annual performance bonus may also be available.
• Additional benefits and perks may also be available, depending on the position and employment terms.

People and Culture

• Cultivate a caring, fun, honest, and autonomous work environment.
• Foster an environment where all employees feel valued and empowered.
• Success stems from associates' dedication and a shared mission to create a “Positive Impact.”
• Embrace diversity and inclusion.