HB Certified Epic Analyst

Summary

The HB Certified Epic Analyst is a subject matter expert in Epic Resolute Hospital Billing (HB), responsible for the design, configuration, and ongoing optimization of HB workflows that drive accurate, compliant, and efficient revenue cycle performance. This role sits at the intersection of technical Epic build and operational revenue cycle knowledge, translating billing, claims, and reimbursement requirements into system configuration that works in the real world of payer rules, work queues, and daily production volume.

This individual owns HB build components including charge router logic, work queue (WQ) design and routing rules, claims edits, Bridges/BCB configuration, and statement workflows, while partnering closely with billing, coding, denials, and client operations teams to ensure the build supports front-line staff rather than working against them. The Analyst supports go-lives, system upgrades, optimization initiatives, and day-to-day production issue resolution across client and internal Epic environments.

This is an opportunity to build deep, marketable Epic expertise while working across multiple revenue cycle environments and client engagements - with a clear path toward Senior Analyst, Team Lead, or Principal Consultant roles for professionals who combine strong Epic HB build skills with revenue cycle judgment.

The HB Certified Epic Analyst is a subject matter expert in Epic Resolute Hospital Billing (HB), responsible for the design, configuration, and ongoing optimization of HB workflows that drive accurate, compliant, and efficient revenue cycle performance. This role sits at the intersection of technical Epic build and operational revenue cycle knowledge, translating billing, claims, and reimbursement requirements into system configuration that works in the real world of payer rules, work queues, and daily production volume.

This individual owns HB build components including charge router logic, work queue (WQ) design and routing rules, claims edits, Bridges/BCB configuration, and statement workflows, while partnering closely with billing, coding, denials, and client operations teams to ensure the build supports front-line staff rather than working against them. The Analyst supports go-lives, system upgrades, optimization initiatives, and day-to-day production issue resolution across client and internal Epic environments.

This is an opportunity to build deep, marketable Epic expertise while working across multiple revenue cycle environments and client engagements - with a clear path toward Senior Analyst, Team Lead, or Principal Consultant roles for professionals who combine strong Epic HB build skills with revenue cycle judgment.

• Knows, understands, incorporates, and demonstrates the Healthrise Core Values in all interactions with team members, clients, and stakeholders.
• Designs, builds, tests, and maintains Epic Resolute Hospital Billing (HB) configuration, including charge router rules, claims edits, and account-level workflows.
• Designs and manages work queue (WQ) structure, routing logic, and assignment rules to optimize staff productivity and claim throughput.
• Configures and supports Bridges/BCB (Bridge Batch/Charge Batch) interfaces, statement processing, and remittance workflows.
• Uses Slicer Dicer and Epic reporting tools to build ad hoc reports, monitor build performance, and identify workflow breakdowns.
• Partners with Epic PB, Cadence, and Claims teams to ensure HB build integrates cleanly across the full revenue cycle application suite.

• Applies current knowledge of CPT, ICD-10-CM, HCPCS, revenue codes, UB-04 claim requirements, and CMS billing guidelines to HB build and issue resolution.
• Stays current on payer-specific billing rules, CMS regulatory updates, and Epic release notes that impact HB configuration and claim accuracy.
• Supports coding and billing quality reviews, denial root-cause analysis, and underpayment investigations by identifying and correcting build-related contributors.
• Ensures HB configuration and workflows remain compliant with HIPAA, payer contracts, and applicable federal and state billing regulations.

• Supports Epic HB go-lives, system upgrades, module implementations, and optimization projects as a build subject matter expert.
• Translates end-user and business owner needs into system specifications, test scripts, and configuration…