Analyst

• Serve as the primary implementation analyst for Epic Resolute Professional Billing (PB) across the full project lifecycle.
• Lead discovery and workflow design sessions with revenue cycle, clinic operations, coding, compliance, and IT stakeholders.
• Translate payer contract requirements, charge capture workflows, and compliance rules into Epic PB configurations.
• Build and configure: Fee schedules, CPT and diagnosis mappings, and payer rule trees
• Charge capture and charge routing workflows
• Claim generation, claim edits, and submission workflows
• Payment posting, adjustment logic, write-offs, and reconciliations
• Workqueues for charge review, claims processing, follow-up, and denials management
• Refund processing and credit balance workflows
• Integrate Resolute PB workflows with: Epic Ambulatory documentation and charge capture
• Coding and charge review teams
• Epic Cadence scheduling and registration workflows
• Clearinghouse partners and external payer interfaces
• Coordinate closely with HIM, Hospital Billing, and clinical application teams to ensure end-to-end revenue cycle functionality.
• Develop and execute comprehensive unit testing, integrated testing, and UAT plans specific to Professional Billing workflows.
• Assist with charge master data mapping and historical billing data conversion strategies.
• Develop training materials and support end-user training sessions for billing operations teams.
• Participate in go-live readiness activities including cutover planning, command center support, and post-go-live stabilization efforts.
• Provide ongoing issue resolution, workflow stabilization, and optimization post-activation.
• Maintain comprehensive documentation including workflow maps, build specifications, testing results, and training materials.

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