Senior Revenue Cycle Analyst (System Application Analyst, Sr)

Accountabilities • Perform system analysis, design, configuration, validation, and ongoing maintenance of Epic Resolute HB Revenue Guardian rules, work queues, and reconciliation processes.

• Configure and optimize Revenue Guardian rules, account and charge review work queues, and automated controls designed to improve charge capture accuracy and reduce revenue leakage.

• Analyze and resolve Revenue Guardian alerts, exceptions, missed charges, incorrect charges, duplicate charges, delayed charges, and other system-generated issues.

• Monitor system and work-queue performance, identify emerging backlogs or charge-capture risks, and take appropriate action to mitigate operational and financial impact.

• Analyze large datasets and Epic reports to identify operational trends, financial risks, productivity issues, charge lag, volume changes, and revenue improvement opportunities.

• Investigate complex problems, perform root cause analysis, document decisions and resolutions, and escalate issues to leadership when appropriate.

• Present findings, recommendations, and progress updates to revenue cycle leaders, analysts, clinical departments, and other stakeholders.

• Collaborate with clinical areas, financial services, health information services, IT, charge master teams, and other partners to resolve charging issues and identify revenue opportunities.

• Work with revenue cycle system analysts to implement upgrades, enhancements, new functionality, and system changes.

• Provide training, mentoring, and technical assistance to less-experienced analysts.

• Participate in revenue cycle initiatives and projects, contributing expertise in application functionality, charge capture, revenue integrity, and system optimization.

• Maintain Epic certification and participate in ongoing professional development through training, vendor materials, industry resources, staff meetings, and peer collaboration.

Requirements

• Master's degree in computer science, a related discipline, or a clinical field plus 4 years of relevant IT, clinical, or healthcare operations experience; or a bachelor's degree plus 6 years; an associate degree plus 7 years; or 8 years of relevant experience.

• Equivalent combinations of education and applicable experience may be considered, with specified experience substitutions for associate and bachelor's degrees.

• Extensive knowledge of CPT-4, HCPCS, ICD-10, revenue coding, and UB-04 requirements.

• Verifiable knowledge of the Outpatient Prospective Payment System (OPPS).

• Epic certification in a Revenue Cycle application, specifically Resolute Hospital Billing, within the required timeframe and commitment to maintaining certification.

• Strong knowledge of hospital operations, patient care processes, and healthcare revenue cycle workflows.

• Working knowledge of Epic applications, with Revenue Guardian expertise strongly preferred.

• Experience with enterprise hospital systems such as Epic, including areas such as admitting, registration, scheduling, billing, clinical documentation, or related workflows, is preferred.

• Experience implementing technology or system changes that drive improvements in hospital operations is preferred.

• Strong analytical, troubleshooting, and problem-solving abilities, including the capacity to independently investigate, test, and analyze new application features.

• Ability to perform critical quality analysis and testing of new software applications and functionality, including beta testing.

• Ability to manage multiple complex priorities and meet deadlines in a dynamic environment.

• Strong communication and collaboration skills, with the ability to work effectively with technical, clinical, financial, and administrative stakeholders.

• Proactive approach to identifying problems, developing solutions, and responding to customer and operational needs.

• Ability to work independently while remaining adaptable, dependable, and focused on team objectives.

• Knowledge of project coordination and management is preferred.

Benefits

• Annual salary range of $107,360–$162,571 , with offers based on experience, education, and internal equity.

• Remote work opportunity.

• Monday–Friday schedule, generally 8:00 a.m.–5:00 p.m.

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

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

• Choice of two pension plans.

• Vacation of up to 200 hours per year , depending on length of service.

• Sick leave of up to 96 hours per year .

• 9 paid holidays annually.

• Substantial TriMet and C-TRAN transportation discounts.

• Employee Assistance Program.

• Childcare service discounts.

• Tuition reimbursement.

• Employee discounts with local and national businesses.

• Opportunities for continued professional development and Epic certification maintenance.

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