Revenue Cycle Analyst (System Application Analyst)

Accountabilities:

• Analyze, design, validate, implement, troubleshoot, and maintain Epic Hospital Resolute and related revenue cycle applications and systems.

• Develop and document application functionality, workflows, interfaces, and system solutions that support accurate and compliant charge capture.

• Translate clinical and operational requirements into system designs, testing strategies, implementation plans, and sustainable workflow improvements.

• Develop and execute test plans, analyze test results, identify deficiencies, and coordinate corrective actions through implementation.

• Maintain a detailed understanding of departmental business processes and how Epic applications support patient care, charging, billing, and revenue cycle activities.

• Periodically assess application functionality and operational workflows to identify system or process deficiencies and recommend improvements.

• Extract, manipulate, and analyze financial and clinical data from multiple sources to support revenue integrity and operational decision-making.

• Monitor productivity, charge lag, charge volume, work queues, and other revenue cycle indicators to identify backlogs, pending charges, and potential revenue opportunities.

• Investigate charge-related issues, late charges, missing elements, and revenue integrity concerns, escalating issues appropriately and addressing root causes to prevent recurrence.

• Provide training and education to managers and staff on revenue cycle processes, charge entry, charge codes, billing requirements, and related system functionality.

• Serve as a liaison among clinical departments, financial services, information technology, patient business services, health information services, and other stakeholders involved in charge capture.

• Collaborate with technical and operational partners to resolve charging issues, identify revenue opportunities, and improve end-to-end workflows.

• Participate in workflow meetings, revenue cycle initiatives, system projects, and process improvement activities as assigned.

• Maintain current knowledge of applicable billing regulations, coding requirements, and system changes, communicating relevant updates to stakeholders.

• Promote a customer-focused approach while supporting revenue cycle projects and broader operational objectives.

Requirements:

• Master’s degree in Computer Science, a related discipline, or a clinical field plus 2 years of relevant IT or healthcare operational experience; or a Bachelor’s degree plus 4 years of relevant experience; or an Associate’s degree plus 5 years of relevant experience; or 6 years of relevant experience. Equivalent combinations of education and experience may also be considered.

• Working knowledge of hospital operations and patient care processes.

• Strong data-analysis capabilities and advanced proficiency with Microsoft Excel.

• Experience working with healthcare information technology, clinical operations, financial systems, or enterprise application environments.

• Ability to analyze complex system and workflow issues and translate user needs into practical technology solutions.

• Strong understanding of revenue cycle processes, charge capture, billing workflows, and related operational dependencies is highly valuable.

• Ability to work independently with a high degree of autonomy, demonstrating initiative, creativity, sound judgment, and a proactive approach to problem resolution.

• Strong organizational and project-management skills, with the ability to manage multiple complex assignments while meeting deadlines.

• Excellent communication and interpersonal skills, with the ability to collaborate effectively with clinical, financial, technical, and administrative stakeholders.

• Ability to diagnose system issues based on user requirements and work collaboratively toward effective solutions.

• Ability to manage and interpret comprehensive datasets, financial information, reports, and analytical worksheets.

• Epic certification is preferred, particularly current Epic Resolute Hospital Billing certification.

• Experience implementing or supporting integrated enterprise hospital systems, preferably Epic, is preferred.

• Experience implementing technology that has supported significant workflow or operational changes within healthcare environments is advantageous.

• Working knowledge or hands-on experience with the Epic Resolute Hospital Billing application is strongly preferred.

• Experience with revenue integrity, charge reconciliation, charge routing, billing operations, or healthcare financial analysis is beneficial.

Benefits:

• Salary: $97,378–$147,456 per year, with offers based on experience, education, and internal equity.

• Healthcare: Medical coverage for full-time employees covered at 100%, with dependent coverage provided at 88%.

• Life insurance: $50,000 in term life insurance provided at no cost to the employee.

• Retirement: Two pension plan options.

• Vacation: Up to 200 hours of vacation per year, depending on length of service.

• Sick leave: Up to 96 hours per year.

• Paid holidays: 9 paid holidays annually.

• Transportation: Substantial TriMet and C-Tran discounts.

• Employee support: Access to an Employee Assistance Program.

• Family support: Childcare service discounts.

• Education: Tuition reimbursement opportunities.

• Employee discounts: Discounts with participating local and national businesses.

• Work arrangement: Remote, full-time position with a Monday–Friday, 8:00 a.m.–5:00 p.m. schedule.

• Professional environment: Opportunity to contribute to healthcare technology, revenue integrity, clinical operations, and enterprise process improvement.