EPIC Analyst-Revenue Integrity

at MaineHealth in Scarborough, Maine, United States

Job Description

Summary

Position Summary

This position contributes and supports Revenue Integrity's Mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and charge improvement process. It is a holistic approach that guides the Maine Health organization toward achieving operational efficiency, complete regulatory compliance, and total reimbursement.
Under the direction of the Director of the Charge Master, this position is responsible for maintaining a consolidated and compliant charging structure within Epic.
They support workflow analysis, design and build sessions with Subject Matter Experts (business leaders, providers and other ancillary services personnel) and instructional designers. They coordinate all issues that arise during the project for their application(s) and are familiar with policies, procedures and constraints of revenue cycle operations. They complete in depth and precise investigation and documentation of operational specifications and application functionality to deliver on expected outcomes. They function as the primary contact to troubleshoot problems and questions from end-users during training, go-live and post go-live periods.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

Education: Technical or bachelor's degree or a minimum of three (3) years' equivalent and related work experience required in business or clinical information system management in a hs0pital or ambulatory care setting preferred.

License/Certifications: Applicable professional certification through AHIMA (CCA) or AAPC is preferred and EPIC CDM Certification. Must obtain professional credential within 1 year of employment.

Experience: EPIC HB/PB experience preferred.

Proficiencies: Knowledge of revenue cycle processes and hospital/ medical billing. Understanding of components of electronic medical record. Knowledge of code data sets to include CPT, HCPCS, and Revenue Codes. Knowledge of NCCI edits, and Medicare LCD/NCDs. An understanding of reimbursement theories to include DRG, OPPS, and Medicare Physician Fee Schedule.

Abilities: Due to its service focus, this position requires interpersonal and communication skills, analytic and organizational skills, and the ability to meet deadlines, computer skills; MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet.
Additional Information

MaineHealth was ranked one of America's Best Large Employers in 2022 by Forbes!

MaineHealth is a not-for-profit integrated health system whose vision is, "Working together so our communities are the healthiest in America." MaineHealth consists of nine local health systems, a comprehensive behavioral health care network, diagnostic services, home health agencies, and 1,700 employed clinicians working together through the MaineHealth Medical Group. With approximately 22,000 care team members, MaineHealth provides preventive care, diagnosis and treatment to 1.1 million residents in Maine and New Hampshire. Learn more about our system at

At MaineHealth, we offer benefits that support an individual's needs for today and flexibility to plan for tomorrow. Our packages include health and dental insurances, paid parental leave, retirement program, generous paid time off, and much more! Our comprehensive array of benefits are competitive, affordable, and include choices that meet specific, but ever changing, needs.

With a career at any of the MaineHealth locations, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the neighborhoods that surround it. We are deeply invested in the well-being of our communities and care team members. We believe in fostering a work environment of strong commitment, compassionate caring and continuous improvement. Join us, and your abilities will be challenged and enhanced as you take your career to a new level.

Additional Information  MaineHealth is a health system whose members and affiliates include hospitals, physician practices, long-term care facilities, home care agencies, and support services. Learn more about this system at www.mainehealth.org

MaineHealth values diversity and is an Equal Opportunity/Affirmative Action employer. Federal and state laws prohibit discrimination in employment because of race, color, national origin, religion, age, sex, sexual orientation, disability or veteran status.