Senior IT Epic Analyst (Revenue Cycle Reporting) Job at Boston Children's Hospital (Boston)

Application System Analyst Lead - Converge Revenue Cycle

The Information Services Lead is responsible for leading and coordinating the ef...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Associates or Bachelor’s degree preferred with a focus in healthcare, business, or information systems
Ability to present complex data in meaningful method, i.e., charts, graphs
Ability to adjust to and implement change
Problem Solving skills
Multitasking skills
Work as a team member
Proficient in Microsoft applications including Word, Excel, and PowerPoint
Excellent customer service skills
Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal quality teamwork and education
Strong organizational skills in managing multiple priorities

Job Responsibility

Acts as primary representation in phases of implementation including build, configuration, testing, go-live support, and optimization
Serves as escalation for the focus area in the support and optimization of team activities
Demonstrates leadership for team to consistently provide strong, high-quality outcomes to end users and stakeholders
Ensures team members adhere to quality standards
Demonstrates an expert level of application understanding, and applies expertise to help meet customer goals and outcomes and set standards
Able to influence operational and clinical project outcomes
Coaches team members to tackle new problems using experimentation, including successes and failure experiences
Inspire creative problem solving beyond standard recommendations and practice
Applies expert level understanding of assigned clinical/business operations, processes, and workflows
and accurately documents, discusses, and identifies dependencies with project team members and stakeholders

Fulltime

Revenue Integrity Analyst

This Contract to permanent position is integral to maintaining compliance and en...

Location

United States , Austin

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor's degree in business, finance, health information management, or a related field is preferred
Proven experience in hospital revenue cycle processes, billing, coding, or claims analysis is highly desirable
Strong analytical abilities to interpret complex billing and reimbursement data effectively
Comprehensive knowledge of healthcare compliance, payer regulations, and revenue cycle operations
Exceptional communication and collaboration skills to work effectively with diverse teams, including clinical, financial, and IT departments
Advanced proficiency in Microsoft Excel and familiarity with data analytics tools and revenue cycle systems such as Epic, Cerner, or Meditech
Expertise in healthcare revenue cycle concepts, including medical billing and claims processes, is essential

Job Responsibility

Analyze revenue cycle processes, including charge capture, coding, billing, and reimbursement, to identify areas for improvement and potential revenue leakage
Ensure compliance with payer contracts, reimbursement policies, and regulatory requirements by interpreting and applying relevant guidelines
Collaborate with clinical, operational, and IT teams to educate stakeholders, address process gaps, and implement corrective measures that enhance revenue integrity
Conduct audits of claims, accounts receivable, and denials to identify patterns and recommend solutions for discrepancies such as underpayments or overpayments
Develop and present detailed reports and dashboards to highlight key findings, trends, and actionable recommendations for senior leadership
Participate in system upgrades, process improvement efforts, and the implementation of new services to optimize charge and revenue capture
Stay informed about changes in healthcare compliance standards, payer regulations, and hospital billing requirements to maintain up-to-date practices

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Senior Manager Resolute Billing

The Resolute Application Manager provides day-to-day leadership for the Epic Res...

Location

United States , Secaucus; Schaumburg

Salary:

150000.00 - 170000.00 USD / Year

Quest Diagnostics

Expiration Date

Until further notice

Requirements

7+ years of progressive experience in healthcare revenue cycle including Epic Resolute, configuration, implementation and support
4+ years in a management capacity
Deep understanding of Resolute PB workflows, including charge router, claims, remittance and payment posting
Experience in large scale project management and data analysis within healthcare environment
Proven experience in creating a high performing team
Experience establishing and operating governance frameworks for large-scale Epic deployments or complex billing platforms
Strong knowledge of HIPAA, CMS and commercial payer compliance requirements applicable to laboratory services
B.S. in Computer Science, Business Administration, Healthcare Administration or a related field. (Required)
Epic Resolute
project management certification (Required)

Job Responsibility

Lead, motivate, and manage a high-performing team of Epic Resolute Analysts
Set clear goals and accountability metrics
provide coaching and feedback to develop the team's technical and professional capabilities
Conduct performance reviews, define individual development plans, and cultivate a pipeline for future Resolute team leadership
Oversee the portfolio of all revenue cycle projects, from small optimizations to large-scale implementations, ensuring alignment with strategic priorities
Implement and manage a project governance framework to standardize project intake, prioritization, and status reporting
Guide the team in risk mitigation, issue resolution, and effective stakeholder communication to ensure projects are delivered on time and within scope
Review and approve complex system builds to guarantee data accuracy, regulatory compliance, and system stability
Direct the team to provide robust, actionable analytics that identify root causes of operational issues (e.g., denial trends, revenue leakage, workflow inefficiencies)
Serve as a key escalation point for complex Epic PB issues, performing root cause analysis and driving resolution

Fulltime

Application Analyst - Optimization

Completes strategic business and financial plans, hospital and physician integra...

Location

United States , Charlotte

Salary:

84947.00 - 127420.00 USD / Year ▼

Advocate Health Care

Expiration Date

Until further notice

Requirements

Relevant Coding, HIM, or system certification issued by American Academy of Professional Coders (AAPC), American Health Information Management Association or Epic
3 years of experience in coding or health information management operations, or revenue cycle technology support for a large complex healthcare system
Bachelor's Degree required
Master's Degree in Business, Health Administration, or Finance preferred
2 to 4 years experience in healthcare required
Work requires lifting, moving, walking, and transporting of large materials
Must be able to sit for prolonged periods of time
Must have personal transportation to travel to various locations

Job Responsibility

Translates data and other information prepared by the management consultants into meaningful information for decision-making by senior leadership at system facilities
Orchestrates the completion, filing, and follow-up of CONs and other similar regulatory filings
Presents graphics and other information in a logical and concise format to senior leadership at system facilities
Directs and orchestrates management consulting projects independent of the department leadership
Conducts strategic financial planning studies for facilities by evaluating relevant data and issues
Writes clear and concise management consulting reports to be received by senior leadership, boards, and physicians
Directs and completes pre- and post-merger and acquisition analyses on candidates' strengths and weaknesses, including market, cost structure, debt capacity, financial position, and debt covenant limitations
Reports related information to senior leadership for decision making and negotiating
Orchestrates the completion of business plans for new operations being considered by the system
Maintains knowledge of local, regional, and national healthcare issues impacting the services of the department

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Clinician Service Analyst Senior

Senior role within Clinician Services for Medical Specialties, focusing on codin...

Location

United States , Milwaukee

Salary:

38.20 - 57.30 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC)
Specialty credential required
Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge
High school diploma or GED required
5 years of experience in expert-level professional and/or facility coding, and experience in collaborating with other teams within an organization, and/or educating/training licensed clinicians
Advanced level of ICD-10- CM/PCS and/or ICD-10-CM/CPT/HCPCS for a large complex health care system or medical group
Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage determinants, research-related restrictions, ICD-10 CM/PCS, and CPT/HCPCS coding classifications
Proficiency in statistical analysis
Demonstrated proficiency in the Microsoft Office Suite (Word, Excel, PowerPoint, Teams, etc.) or similar products and in patient accounting and billing systems
Ability to deal and work effectively with multiple departments and in matrix organizational structures

Job Responsibility

Monitor and analyze KPIs to identify trends and transform data into actionable reports and presentations that support strategic decision-making
May participate in Service Line leadership meetings to represent Clinician Services, share updates, propose improvements, and align departmental efforts with organizational strategy
Collaborate with leadership and cross-functional teams—including Coding, CDI, CMD, Integrity Operations, Optimization & Technology, and Clinical Informatics—to identify improvement opportunities and advance documentation practices
Provide operational and technical guidance to staff and stakeholders, ensuring clarity and consistency in documentation and coding processes
Demonstrate compliance with regulatory requirements, including CMS, QIOs, NCCI edits, and payer-specific guidelines, while adhering to AHIMA’s Standards of Ethical Coding
Utilize EHR systems and coding tools proficiently, maintaining data integrity and supporting efficient documentation workflows
Maintains confidentiality of patient records
Reports any perceived non-compliant practices to the Clinician Services leadership or compliance officer
Engage in continuous learning, staying current with evolving coding guidelines, practices, and terminology through training and professional development
Promote a collaborative, service-oriented culture, modeling professionalism and teamwork across Clinician Services and organizational stakeholders

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more
Incentive pay for select positions

Fulltime

New

Risk Assessment Manager

Join us as a Risk Assessment Manager within the RAU, where you will provide, rev...

Location

United Kingdom , Northampton; Glasgow

Salary:

Not provided

Barclays

Expiration Date

Until further notice

Requirements

Working in financial crime and conducting client risk assessment
working and influencing various stakeholders
working within a regulatory and control environment
organisational, time management and decision-making skills
conducting risk assessment reviews for High-Risk Customers
accredited AML qualifications

Job Responsibility

Provide, review and sign off on High Risk Customers
review all regulatory and reputational risk referrals
conduct AML investigations
identification and evaluation of potential risks associated with non-compliance or unethical conduct
lead investigations into alleged violations
provide training programs
document investigation processes
utilise advanced technology and data analytics tools
utilise and assess relevant information
fulfil external reporting obligations

What we offer

Unique initiatives to enhance wellbeing like a colleague allotment
excellent facilities
flexible working arrangements

Fulltime

New

Reservations Agent

At the heart of the community, Sheraton Grand Mirage Resort Port Douglas brings ...

Location

Australia , Port Douglas

Salary:

Not provided

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

A positive 'can-do' working style
A flexible approach with the ability to identify and successfully implement new initiatives and problem-solving solutions
A collaborative and open communication style
12 months working in a similar role
Experience in a Hotel or Travel Agency is desirable
Have valid rights to work in Australia

Job Responsibility

Deliver premium client service to our guests securing their bookings and promoting Resort facilities and Marriott Bonvoy
Check daily reports for room lists and changes
Liaise daily with Reservations Manager, Events, and Sales & Marketing team to ensure correct information is provided for forecasting & reporting
Check rooms availability and liaise with revenue management for best rate and assess availability for group bookings
Set up group rate schedules & enter group bookings
Attend rundown, pre con and weekly sales meetings
Liaise with conference organisers to ensure timely & correct rooming lists
Provide accurate end of month figures for reporting
Issue FIT group runsheets
Carry out handovers with front office manager for group arrivals

What we offer

Exclusive staff discounts on food and beverage and hotel rooms (including all properties within the Marriott International group) for you, your family and friends
Be part of Life with the Works program where you can enjoy flexible working hours & locations, time off to pursue your passion through sabbatical leave, and paid leave during your birthday month
Grow, develop, and progress with internationally recognised training programs, unlimited strategic development and exciting career opportunities within the Marriott International group
Free onsite parking and work attire laundered
Genuine care for associates' physical, emotional and financial wellbeing through our Employee Assistance Program
Opportunity to receive Employee Referral Incentives and get paid for working with your friend
Work for the Largest Hotel Network in the World which values equality, diversity and inclusiveness

Fulltime

New

Reservations Agent

Process all reservation requests, changes, and cancellations received by phone, ...

Location

Kazakhstan , Astana

Salary:

Not provided

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

Process all reservation requests, changes, and cancellations received by phone, fax, or mail
Identify guest reservation needs and determine appropriate room type
Verify availability of room type and rate
Explain guarantee, special rate, and cancellation policies to callers
Accommodate and document special requests
Answer questions about property facilities/services and room accommodations
Follow sales techniques to maximize revenue
Input and access data in reservation system
Indicate special room reservation types (e.g., complimentary rooms, employee discounts, travel agent inspection rates, and wholesale reservations) by inputting the correct code and rate into the reservation system
Follow proper escalation procedures when addressing guest concerns

Job Responsibility

Process all reservation requests, changes, and cancellations received by phone, fax, or mail
Identify guest reservation needs and determine appropriate room type
Verify availability of room type and rate
Explain guarantee, special rate, and cancellation policies to callers
Accommodate and document special requests
Answer questions about property facilities/services and room accommodations
Follow sales techniques to maximize revenue
Input and access data in reservation system
Indicate special room reservation types (e.g., complimentary rooms, employee discounts, travel agent inspection rates, and wholesale reservations) by inputting the correct code and rate into the reservation system
Follow proper escalation procedures when addressing guest concerns

Fulltime

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Senior IT Epic Analyst (Revenue Cycle Reporting)

Job Description

Job Responsibility

Requirements

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