The Wilshire Group

Analyst

• Perform Epic application build, configuration, optimization, and maintenance for Radiant, Cupid, and Lumens modules
• Collaborate with clinical, operational, and technical teams to gather requirements and implement solutions
• Troubleshoot application issues and provide timely resolution support
• Participate in workflow analysis, system testing, validation, and upgrades
• Create and maintain documentation related to build decisions, workflows, and change management
• Support integrated workflows across multiple Epic applications
• Assist with go-live support, enhancements, and ongoing optimization initiatives
• Ensure system configurations align with organizational standards and best practices
• Participate in meetings with stakeholders and provide recommendations for process improvement

Build Analyst

Operations

• Lead the strategic oversight, maintenance, and optimization of the Charge Description Master (CDM)
• Partner with operational, finance, clinical, compliance, and IT teams to improve revenue integrity processes
• Monitor and maintain compliance with CPT, HCPCS, ICD-10, CMS, and payer requirements
• Conduct CDM audits and identify opportunities for charge capture accuracy and reimbursement improvement
• Manage annual and ongoing code set updates, pricing reviews, and regulatory changes
• Analyze reimbursement trends and recommend operational and pricing enhancements
• Support system implementations, upgrades, and integrations impacting CDM workflows, including Epic
• Develop best practices and provide guidance to department leaders on CDM governance and charge capture processes
• Assist with resolving billing discrepancies, denials trends, and compliance risks
• Drive process improvement initiatives that enhance operational efficiency and financial performance

Revenue Integrity Manager, CDM Operations

Manager

• Oversee the development, maintenance, and optimization of the Charge Description Master (CDM)
• Ensure accuracy and compliance with CPT, HCPCS, and ICD-10 coding standards
• Collaborate with departments to review and validate charge capture processes
• Conduct routine CDM audits to identify discrepancies, pricing issues, and compliance risks
• Coordinate updates related to regulatory changes, payer requirements, and annual code set revisions
• Partner with revenue integrity, finance, compliance, and clinical teams
• Analyze reimbursement trends and recommend pricing and charge structure improvements
• Support system updates and integrations impacting CDM (including Epic)
• Provide education and training to department leaders and staff on CDM-related processes

CDM Manager

Backend Engineer

• Lead end-to-end revenue cycle projects spanning front-end, mid-cycle, and back-end functions
• Manage Epic-related implementations, upgrades, optimizations, and workflow redesigns (HB/PB focus)
• Collaborate cross-functionally with clinical, operational, and IT stakeholders
• Develop project plans, timelines, and deliverables; ensure projects stay on scope, schedule, and budget
• Identify revenue leakage opportunities and implement corrective strategies
• Monitor KPIs such as DNFB, clean claim rate, denial rates, and AR days
• Facilitate meetings, provide executive-level reporting, and communicate progress clearly
• Ensure compliance with regulatory requirements and payer guidelines

Revenue Cycle Project Manager – Front, Middle & Back End, Epic Required

• Serve as the primary subject matter expert for Epic Resolute Hospital Billing (HB) with working knowledge of Professional Billing (PB)
• Lead application support, optimization, and enhancement efforts for Resolute HB
• Collaborate with revenue cycle, IT, and operational stakeholders to improve workflows and system performance
• Provide guidance on system configuration, issue resolution, and best practices
• Mentor and support junior analysts, promoting knowledge sharing and team development
• Oversee and prioritize incoming requests, enhancements, and system changes
• Ensure system integrity, compliance, and alignment with organizational standards
• Participate in upgrades, testing cycles, and release management activities
• Provide occasional on-site support and stakeholder engagement as needed

Epic Resolute Application Manager – Contract

Consultant

• Serve as a strategic advisor to Revenue Cycle and Revenue Integrity leadership
• Lead and support Epic revenue cycle optimization initiatives, including Hospital Billing (HB) and Professional Billing (PB)
• Partner with clinical, operational, and IT teams to improve charge capture, billing workflows, and reimbursement performance
• Evaluate and enhance: Charge capture processes, CDM (Charge Description Master) strategy and maintenance, Workqueues and claim edits, Denial prevention and revenue recovery workflows
• Provide project management leadership across multiple initiatives: Implementation planning, Operational readiness, Go-live and post-live support
• Facilitate cross-functional meetings, including executive-level reporting and strategy sessions
• Translate operational needs into Epic system design and build enhancements
• Support workflow redesign and process improvement initiatives
• Ensure compliance with payer, regulatory, and internal revenue integrity standards
• Assist with financial reporting, analytics, and performance tracking

Build Analyst

Revenue Integrity Manager, CDM Operations

CDM Manager

Revenue Cycle Project Manager – Front, Middle & Back End, Epic Required

Epic Resolute Application Manager – Contract

Senior Strategic Consultant, Revenue Integrity