Epic Hospital Billing Business Systems Specialist
Responsible for all build changes related to fee schedules, self-pay discount tables, charge capture, charge router, cost center assignment, and charge related workqueues. Build claim edits, review claim errors and assist with identifying common areas of revenue loss. As a Revenue Integrity analyst, I continually look to identify charge capture opportunities or compliance issues in revenue producing departments. Including researching billing and coding regulations. Effectively communicate, and assist in implementing any necessary changes, to impacted areas that affect policy, financial, charge capture, patient care, billing, and coding operations. Utilize reporting as an effective tool for scoping and prioritizing issue areas. Work closely with internal charge capture auditors to identify and develop tools for measuring error rates, cause of error, prioritization of work (high dollar and timely filing), workqueue build and assist with on-site department training to help reduce occurrences of identified errors. Work with clinical teams to determine solutions for charging related issues, including tracing sources to identify and resolve specific problem areas. Analyze metrics and data to improve workflows and EPIC build. Work closely with Charge Description Master. Liaison with Revenue Cycle, IT, and clinical departments to link EPIC and charge master. Skilled problem solver and root cause analyst. Support finance, operations, and revenue cycle teams through optimizations and special projects. Recently went through a successful enterprise standardization and upgrade for Cerner Lab, CoPath and Haemonetics Blood Bank modules. I was instrumental to identify, test and ensure proper charge mapping from order to result to charge. Identified inconsistent workflows across campuses and worked with many team members to develop solutions to charging behaviors that were not standardized or previously identified prior to upgrade.