Epic Certified Applications Analyst

Job Description:

This is a Claims position so need someone with either Hospital or Professional Claims certification/accreditation.  Preferable both and bonus if they have Hospice experience. 

An Epic Claims Analyst is responsible for managing and optimizing the claims processing system. They analyze, troubleshoot, and enhance workflows to ensure accurate and efficient claims submission, processing, and reimbursement. Their role often involves working with billing teams, IT staff, and clearinghouse software to resolve issues and improve operational efficiency. Strong knowledge of Epic''s claims modules, healthcare billing, and regulatory compliance is essential for success in this role. 

Analogy to help explain what we do:

• Charging and Revenue Integrity analyst = ensure the price of all ingredients are correct so that the 
• Billing Team can build the pricing for the menu
• Claims Teams ensure
• We can accept cash, credit cards, coupons, gift cards, etc
• Payments are recorded appropriately, including when multiple payment methods are received.
• Work with
• the bank for cash transactions (nightly deposits)
• credit card vendors (aka insurance) for their specific requirements
• Ensure we record each payment and apply them to the bill until paid in full

This team is now remote but need to be on-site once per month for dept meeting and team building.  Our first choice is someone local, but we are open to someone out of state if they are the right fit.

POSITION SUMMARY

The Epic Applications Analyst III provides advanced support in the design, implementation, optimization, and support of Epic Electronic Medical Record (EHR) system across the Integrated Delivery Network (IDN). The Epic Applications Analyst III serves as project leader, collaborating with clinical, operational, and technical teams to ensure Epic systems are aligned with business needs and regulatory standards. The Epic Applications Analyst III drives performance improvement through data reporting, advanced configuration, and proactive system enhancements, ensuring reliable, secure, and user-friendly application functionality.

PRIMARY ACCOUNTABILITIES

·            Leads implementation projects for the EHR, and system optimization efforts to improve overall efficiency, and end-user experience.

·            Conducts complex system configurations and supports advanced troubleshooting to ensure system stability, performance, and usability of Epic applications by end-users.

·            Delivers end-user training and creates comprehensive documentation to ensure proper system usability and overall support knowledge sharing across teams.

·            Develops and manages dashboards, reports, and extraction of data to remain aligned with organizational, and clinical reporting requirements.

·            Partners with cross-functional teams manage major EHR upgrades, requests for enhancements, testing cycles, and change management initiatives to drive performance improvement.

·            Provides oversight to ensure compliance with all applicable Healthcare regulations such as: Health Insurance Portability and Accountability Act (HIPAA), The Joint Commission (TJC), and company policies and procedures.

·            Serves as an escalation point for junior analysts, and SME for complex issues and incidents in Epic, while providing guidance and resolutions to the applications team.

·            Provides insight and recommendations to Epic Applications leadership regarding strategies, performance metrics, and long-term system sustainability and improvement opportunities.

MINIMUM QUALIFICATIONS

·            Education: Bachelor’s degree in Information Technology, Healthcare or Business Administration, or relevant field.

·            Work Experience: Four (4) years of experience with an EHR, including system configuration and support.

·            Licensure: None

·            Certification: Accreditation(s) in required multiple specialties prior to start date and maintained.

·            Work Experience In Lieu of Education: Six (6) years of experience with an EHR, including system configuration and support.

·            Skills/Knowledge/Abilities:

·        Proficient in Microsoft Office – Outlook, Word, Excel, PowerPoint.

·        Ability to manage small projects, lead, and mentor others.

·        Advanced knowledge of Epic modules.

·        Excellent communication and problem solving skills.

·        Advanced skills in project management.

·        Familiarity with Healthcare IT regulations.

PREFERRED QUALIFICATIONS

·            Education: Bachelor’s degree in Information Technology, Healthcare or Business

·            Administration, or relevant field.

·            Work Experience: Six (6) years of experience with Epic EHR, including system configuration and support.

·            Certification:

·        Project Management Professional (PMP).

·        Certified Scrum Master (CSM).

·        Certified Health Technology Specialist (CHTS).

PHYSICAL REQUIREMENTS

·            Majority of time involves sitting or standing; occasional walking, bending, and stooping.

·            Long periods of computer time or at workstation.

·            Light work that may include lifting or moving objects up to 20 pounds with or without assistance.

·            May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise.

·            Communicating with others to exchange information.

·            Visual acuity and hand-eye coordination to perform tasks.

·            Workspace may vary from open to confined.

·            May require travel to various facilitie