Review Cardiac Catheterization, Electrophysiology (EP), and Interventional Radiology documentation, coding, and charge capture processes to ensure accuracy, completeness, regulatory compliance, and optimal reimbursement
Perform comprehensive audits and analyses of coding, billing, and charge capture practices to identify revenue leakage, compliance risks, and opportunities for process improvement
Research and resolve complex coding, documentation, billing, and reimbursement issues related to Cardiac Catheterization and Interventional Radiology services
Maintain expertise in CPT, HCPCS, ICD-10-CM, NCCI edits, Medicare guidance, and payer-specific policies, and communicate relevant updates to operational and clinical stakeholders
Serve as a subject matter expert and trusted resource for Cardiac Catheterization, EP Lab, and Interventional Radiology coding, billing, and revenue integrity practices
The Epic Resolute Hospital Billing / Claims Analyst will configure, test, and implement hospital billing and claims workflows across complex healthcare environments.
Compensation
Competitive salary and benefits.
Responsibilities
Configure and test hospital billing, charge, account, reimbursement, and claims workflows.
Partner with clinical, health information management, coding, and revenue cycle teams on charge capture and billing workflows.
Support billing and claims integrated testing, end-user validation, go-live readiness, and stabilization activities.
Work closely with the Team Lead or Application Manager on researching, planning, building, testing, and implementing approved project work.
Analyze operational requirements and system capabilities to propose effective solutions and apply workflow practices to system configuration.
Requirements
Bachelor’s degree in Healthcare Administration, Finance, Information Management, Computer Science, or a related field, or an equivalent combination of education and experience.
Nice to have: Prior Epic implementation or go-live experience
Nice to have: Claims certification or hands‑on claims configuration experience
Nice to have: Experience with government-sponsored or complex payer billing requirements
Nice to have: Experience configuring hospital billing, charge capture, reimbursement, and claims workflows
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Epic Certified Resolute Professional Billing / Claims Analyst
The Epic Resolute Hospital Billing / Claims Analyst will configure, test, and implement hospital billing and claims workflows across complex healthcare environments.
Compensation
Competitive salary and benefits.
Responsibilities
Configure and test hospital billing, charge, account, reimbursement, and claims workflows.
Partner with clinical, health information management, coding, and revenue cycle teams on charge capture and billing workflows.
Support billing and claims integrated testing, end-user validation, go-live readiness, and stabilization activities.
Work closely with the Team Lead or Application Manager on researching, planning, building, testing, and implementing approved project work.
Analyze operational requirements and system capabilities to propose effective solutions and apply workflow practices to system configuration.
Requirements
Bachelor’s degree in Healthcare Administration, Finance, Information Management, Computer Science, or a related field, or an equivalent combination of education and experience.
Nice to have: Prior Epic implementation or go-live experience
Nice to have: Claims certification or hands-on claims configuration experience
Nice to have: Experience with government-sponsored or complex payer billing requirements
Nice to have: Experience configuring hospital billing, charge capture, reimbursement, and claims workflows
Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization’s strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge.
Compensation
(Pay Range: $21.9481-$32.9222)
Responsibilities
Researches, collects & analyzes information
Identifies opportunities, develops solutions, & leads through resolution
Collaborates on performance improvement activities
Responsible for distribution of analytical reports
Utilizes multiple system applications to perform analysis, create reports & develop educational materials
Requirements
Associate’s degree in healthcare, business administration, finance, accounting, or related field or equivalent experience considered in lieu of degree
Nice to have: CDC (Healthcare Compliance Certification)
Serve as the Revenue Cycle PM for the EHR Transformation program, ensuring system design, build, testing, and deployment reflect dialysis care delivery while supporting successful adoption across clinics.
Responsibilities
Own and manage the end-to-end Revenue Cycle workstream plan, milestones, resources, and integration into the EHR program master schedule.
Lead revenue cycle design and validation activities across registration, eligibility, authorization, charge capture, coding, claims, remittance, denials, and patient collections.
Partner with Finance, Revenue Integrity, Patient Financial Services, Clinical Operations, and Information Technology teams.
Coordinate revenue cycle SMEs, analysts, operational leaders, and build teams to ensure readiness and decision closure.
Oversee Integrated rev cycle system configuration, including billing, payer plans, claim edits, work queues, and charge description master (CDM) integration.
Leads the Billing and Cash Applications functions within Revenue Cycle Operations, ensuring accurate and timely claims generation, payment posting, charge entry, and cash reconciliation.
Compensation
The pay range for this position is $70000.00 - $97000.00/yr.
Responsibilities
Provide overall leadership, direction, and oversight for Billing and Cash Applications within Revenue Cycle Operations.
Ensure the accurate and timely generation and submission of claims to payers and other third parties.
Oversee the posting of payments, charge entry, and reconciliation of all cash activity to maintain accurate financial records.
Maintain and oversee payer enrollments to ensure proper setup, participation, and ongoing compliance with payer requirements.
Ensure adherence to organizational policies, regulatory requirements, and industry standards across all billing and cash application activities.
Senior-level Epic Professional Billing (PB) / Resolute PB Analyst to support a major optimization and "refuel" initiative focused on bringing a highly customized Epic environment back to foundational PB workflows and best practices.
Compensation
The pay range for this position is $85.00 - $90.00/hr.
Responsibilities
Analyze and assess current Epic Professional Billing configuration and workflows.
Review historical customizations built around program-based billing structures and recommend standardized PB solutions.
Lead a "Back to Foundation" effort focused on reducing unnecessary build complexity and aligning workflows with current operational needs.
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