Revenue Cycle Operations Excellence Epic Consultant - Back End

Impact Advisors, LLC is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We are driven by a commitment to exceed client expectations and are proud to be a trusted partner to many of the nation's leading healthcare organizations. Our mission to drive patient-centered, value-driven outcomes has earned us prestigious industry accolades. To learn more about us, visit www.impact-advisors.com

Job Overview

Impact Advisors is seeking a dynamic and motivated Revenue Integrity Operations Excellence Epic Consultant to join our team. In this role, you will be instrumental in directing project teams as they implement best practices and bring world-class Revenue Cycle strategies to healthcare provider client locations throughout the US. This position offers a unique opportunity to contribute to client success while making a meaningful impact on the healthcare industry.

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 generate.

• Work closely with Information Services to complete and test charge-related build by having a clear understanding of the charging workflows and triggers built within the EMR.

• Work collaboratively 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

Education and Experience

• 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.

• Have a 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, we prioritize transparency and equity in our compensation practices. This role has a salary range of $91,000-$210,000 and may also be eligible for an annual discretionary bonus. This range accounts for various factors, including skills, experience, training, certifications, and organizational needs.

For salaried positions, this role may also be eligible for an annual performance bonus. Additional benefits and perks may also be available, depending on the position and employment terms. This range reflects consideration of several factors, including skills, experience, training, certifications, and organizational needs.

Our People and Culture

At Impact Advisors, we cultivate a caring, fun, honest, and autonomous work environment. Our success stems from our associates' dedication and a shared mission to create a “Positive Impact.” We embrace diversity and inclusion, fostering an environment where all employees feel valued and empowered.

Join Impact Advisors and make a real difference in healthcare.