Epic Billing Analyst III, Day Shift, Epic Program

Fort Washington Medical Center; Gaithersburg (MD); On-site; USD 77,000 - 118,000; Full time

Job summary

Adventist HealthCare seeks an experienced Epic Billing Analyst III to serve as the senior technical and functional expert for Epic Resolute Hospital Billing, Professional Billing, and Single Billing Office. You will lead design, mentor staff, and partner with revenue cycle, finance, and compliance to improve financial performance during Epic go-lives.

The role requires extensive Epic Resolute experience, certification, and the ability to manage complex workflows, testing, and production support

Qualifications

• Bachelor's degree in business, finance, healthcare administration, health informatics, information technology, or related field; equivalent experience may be considered.
• 7+ years of direct clinical, healthcare operations, or related experience with complex EHR implementations/upgrades.
• Epic Resolute Hospital Billing and Professional Billing certification required; HFMA CRCR or similar revenue cycle credential preferred.
• Ability to participate in on-call rotation, after-hours support, upgrades, and go-live activities.

Responsibilities

• Lead design of complex Resolute functionality across Hospital Billing, Professional Billing, and Single Billing Office.
• Own end-to-end charge, claim, and payment integration strategy, including clearinghouse connections and payer enrollment dependencies.
• Lead billing testing strategy and go-live support, including revenue cycle cutover planning and legacy wind-down.
• Serve as escalation point for complex billing, coding, and CDI issues and drive optimization projects to reduce denials and days in AR.
• Mentor junior analysts and coordinate work with revenue cycle, compliance, and finance leadership.

Skills

Leadership experience

Mentoring

On-call rotation

Regulatory knowledge

Education

Bachelor's degree in business/finance/healthcare

Tools

Epic Resolute Hospital Billing

Epic Resolute Professional Billing

Epic Resolute Single Billing Office

Charge capture & remittance

Job description

Adventist HealthCare seeks to hire an experienced Epic Billing Analyst III for our Epic Program who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing.

The Epic Billing Analyst III is the senior technical and functional expert for Epic Resolute Hospital Billing, Professional Billing, Single Billing Office, and claims and remittance at AHC. The Analyst leads design for complex billing workflows, guides and mentors other analysts, and partners with revenue cycle, finance, and compliance leaders to improve financial performance, and serves as a billing lead for the Epic go-live.

Responsibilities

• Resolute Build and Configuration: Lead the design of complex Resolute functionality across Hospital Billing, Professional Billing, and Single Billing Office, including charge capture strategy, claims and remittance, reimbursement and contract modeling, and work queue design. Set build standards, review the build of other analysts, and make design recommendations to revenue cycle leaders.
• Claims, Remittance, and Charge Integration: Own the end-to-end charge, claim, and payment integration strategy, including clearinghouse connections, payer enrollment dependencies, and charge capture from all clinical applications. - Lead root-cause analysis of complex claim, denial, and reimbursement issues.
• Testing, Implementation, and Go-Live Support: Lead the billing testing strategy, including integrated charge-to-payment testing and claim validation with key payers. Lead revenue cycle cutover planning, including accounts receivable conversion and legacy system wind-down, and serve as a billing lead in the go-live command center.
• Production Support and Optimization: Serve as the escalation point for complex billing, coding and CDI issues. Lead optimization projects that reduce denials, days in accounts receivable, and manual work, using Epic reporting and revenue cycle metrics. Lead the assessment of Epic upgrades and new functionality for Resolute. Take on-call rotation if needed.
• Compliance, Governance, and Collaboration: Mentor Analyst I and II staff and coordinate work assignments. Partner with revenue cycle, compliance, and finance leaders on governance decisions, billing compliance (CMS and payer rules, the No Surprises Act, and price transparency), and audit support.

Qualifications

• Bachelor's degree in business, finance, healthcare administration, health informatics, information technology, or a related field; an equivalent combination of education and relevant experience may be considered.
• 7- plus years of direct clinical, healthcare operations, clinical information systems, application support, or related experience, including substantial experience leading complex implementations, upgrades, optimization, or production support in an integrated EHR environment. Epic experience is preferred.
• Experience leading the work of other analysts or project teams is preferred; formal supervisory experience is not required.
• Epic Resolute Hospital Billing and Professional Billing certification required; additional Resolute certifications preferred. HFMA Certified Revenue Cycle Representative (CRCR) or a similar revenue cycle credential is preferred.
• Ability to participate in on-call rotation, after-hours support, upgrades, and go-live activities, including extended hours during the go-live and around month-end and billing deadlines.

Epic Assessment Requirement

As part of the interview process, candidates advancing to the final stages of consideration will be required to complete a two-part online assessment through Honorlock, Epic's testing partner. The assessment provides additional insight into competencies important for success in the roles. Honorlock utilizes AI-assisted proctoring technology to help maintain the integrity of the assessment process. Additional details will be provided to candidates selected to move forward in the hiring process.

Epic Certification Requirement

All analysts hired will be required to become Epic certified. This requires offsite travel to Epic in Wisconsin in February 2027 to complete certification requirements.

Work Schedule

Employment Type: Full-time

Hours per Week: 40 hours/week

Typical Daily Schedule: 8 am-5 pm, Monday through Friday

Shift Type: Day Shift

Holiday Requirements: Follow the company holiday calendar

Occasional nights/weekends and travel to support the implementation.

Pay Range

$77,313.60 - $117,873.60 If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process.

Classification

Under the Fair Labor Standards Act (FLSA), this position is classified as:

United States of America (Exempt)

At Adventist HealthCare our job is to care for you.