Gestão Smart Serviços Contábeis · 2 months ago
Business Process Consultant, Epic Revenue Integrity
United States
Full-time
Remote
Mid, Senior Level
$118K/yr - $172K/yr
5+ years expChartis is a purpose-driven organization that helps reshape healthcare for the better. The Business Process Consultant will ensure clinical processes align with revenue through workflows and documentation while collaborating with various teams to optimize revenue integrity strategies.
Accounting
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
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
Gestão Smart Serviços Contábeis
Somos uma empresa especializada em consultoria e contabilidade geral.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase