Epic Revenue Cycle Systems Analyst - Back End

Summary

The Epic Revenue Cycle Systems Analyst is a Revenue Cycle–embedded analyst responsible for the functional support, optimization, and issue resolution of Epic Hospital Billing (HB), Professional Billing (PB), and Claims workflows. This role reports directly to the Senior Director of Revenue Cycle and operates as a trusted subject matter expert (SME) within the Revenue Cycle organization, while maintaining strong partnership with Information Technology.

This position provides both hands-on functional support and strategic advisory services across HB and PB, including provider-based billing, claims processing, and reimbursement workflows. The analyst partners closely with Revenue Cycle leadership, Revenue Integrity, Patient Access, Patient Financial Services, HIM, Compliance, and IT to ensure Epic revenue cycle applications are aligned with operational needs, regulatory requirements, and organizational financial goals.

Essential Duties and Responsibilities

These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.

Epic Revenue Cycle Application Support

• Provide advanced functional support for Epic HB, PB, and Claims, including configuration and advisory guidance.

• Serve as the primary liaison between Revenue Cycle leadership and IT for system issues, enhancements, and initiatives.

• Support Professional Billing workflows, including charge capture, claim edits, and reimbursement processes.

• Troubleshoot complex end-to-end revenue cycle issues across billing, claims, and payment processes.

• Coordinate with Epic Community Connect partners for build requests, testing, and system changes.

Revenue Cycle Optimization & Process Improvement

• Partner with leadership to improve billing accuracy, claim timeliness, denial prevention, and reimbursement outcomes.

• Analyze front-end, mid-cycle, and back-end workflows to align Epic functionality with best practices.

• Support initiatives focused on clean claims, DNFB reduction, denial management, and payer compliance.

• Participate in system upgrades, projects, and optimization efforts impacting revenue cycle performance.

Claims & Compliance Support

• Support Claims functionality, including edits, clearinghouse processes, payer rules, and ERA workflows.

• Ensure compliance with Medicare, Medicaid, and commercial payer requirements.

• Collaborate with HIM, Compliance, and Revenue Integrity to align documentation, coding, and billing.

Reporting & Data Analysis

• Analyze revenue cycle performance using Epic reporting tools (Cogito, Clarity, Caboodle).

• Develop and deliver reports and insights to support operational and executive decision-making.

Stakeholder Engagement & Training

• Act as a trusted advisor; lead workflow reviews, facilitate sessions, and provide end-user training and support.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and Experience

Minimum Required Education

Bachelor's degree in Business Administration, Information Systems, Computer Science, or a related field. MBA or MHA preferred. Seven years of experience in Revenue Cycle and/or IT will be considered in lieu of degree.

Experience

Minimum of 5 years of experience in business analysis or a related field, with a proven track record in managing complex projects and using data analytics tools.

Technical Skills

Advanced proficiency in Microsoft Power BI, Tableau, SQL, and other relevant data analysis and project management software. Proficient in the use of Microsoft 365 suite of software (Outlook, Word, Excel, and PowerPoint).

Advanced proficiency in Epic Revenue Cycle applications:

• Cadence

• Charge Master

• Clarity

• Cogito / Caboodle

• Grand Central

• Hello World

• HIM

• Hospital Billing

• Identity

• MyChart

• Prelude

• Professional Billing

• Referrals and Authorizations

Certificates, Licenses, Registrations

One of the following certifications required:

• Epic Resolute Hospital Billing (HB)

• Epic Resolute Professional Billing (PB)

• Epic Prelude

• Epic Health Information Management (HIM)

• Epic Cogito / Caboodle

• Epic Cadence

• Epic Clarity

• Epic Grand Central

Physical Demands & Work Environment

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

A separate sheet documenting the description of physical demands and working conditions must be included/attached as the last page of the finalized job description.