Business Process Consultant, Epic Revenue Integrity jobs in United States
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Chartis · 1 week ago

Business Process Consultant, Epic Revenue Integrity

Chartis is a purpose-driven organization focused on improving healthcare for providers and payers. The Business Process Consultant will ensure clinical operations effectively translate into revenue through optimizing workflows and advising on Epic's revenue integrity functionalities.

ConsultingHealth CareInformation TechnologyInsuranceLegal
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Growth Opportunities
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H1B Sponsor Likelynote

Responsibilities

Charge Capture Process Design and Optimization: Analyze charge capture workflows across departments. Identify where charges are missed, delayed, duplicated, or incorrectly applied. Align clinical documentation with charge generation
Epic System Alignment: Collaborate with and advise Epic analysts to design/revise workflows using charge router, charge review workqueues, HB/PB workqueues, CDM mapping, etc. Help ensure proper use of charge triggers, order linking, fee schedules, and modifier use
Revenue Integrity Audits and Data Analysis: Conduct root cause analysis on claim denials, underpayments, or missed charges. Use Epic’s reporting functionality to review charge trends and revenue leakage. Design dashboards and reports for ongoing revenue integrity monitoring
Cross-Functional Collaboration: Serve as the process liaison between clinical, HIM/coding, finance, and IT teams. Lead work groups to redesign processes. Translate between clinicians and technical teams, making sure workflows make sense and are compliant
Testing and Validation: Guide and support testing efforts (unit, integrated, user acceptance testing, etc.)
Project Management: Develop and manage project plans, anticipate and resolve issues, facilitate change management, and present project status updates to leadership. Develop and lead peers and/or team members through successful end-to-end work plan creation and management
Client Communication: Create concise, and client-ready communications with clear storylines

Qualification

Epic Revenue IntegrityRevenue Cycle ManagementEpic CertificationData AnalysisProject ManagementTestingValidationCommunication SkillsCross-Functional Collaboration

Required

5+ years in an Epic Revenue Integrity leadership position
Deep understanding of the revenue cycle and how to prevent lost revenue
Must be certified in at least one of Epic's revenue cycle applications (multiple certifications a plus), with hands on experience in HB/PB charging, the charge router, and the charge description master
Strong project management and communication skills
Ability to bridge technical configuration with operational needs
Strong ability to speak to and drive organizational KPIs
Demonstrated ability to clearly communicate with all levels of an organization, both verbally and in writing

Benefits

Medical
Dental
Vision
HSA
FSA
Disability insurance
Life insurance
401(k) match
Paid time off
Wellness stipend
Additional voluntary benefits

Company

The challenges facing US healthcare are longstanding and all too familiar. We are Chartis, and we believe in better.

H1B Sponsorship

Chartis has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
RLH Equity Partners
2024-08-14Private Equity
2024-08-14Acquired
2012-12-07Private Equity

Leadership Team

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Ken Graboys
Chief Executive Officer
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Company data provided by crunchbase