Epic Hospital Billing Analyst

Role Purpose

Under moderate direction, the Epic Analyst supports and maintains Epic Hospital Billing applications with a focus on Home Health and Hospice services. This role partners closely with revenue cycle teams, Home Health and Hospice operations, coding, compliance, finance, and IT to ensure stable day-to-day system performance and accurate billing workflows.

The Analyst is responsible for ongoing application support, issue resolution, claims troubleshooting, and system optimization to ensure reliable reimbursement and regulatory compliance in a live production environment.

Module Focus Epic HB Claims Home Health/Hospice

This role will support Epic Hospital Billing operations specific to Home Health and Hospice, including:

Ongoing support of Home Health/Hospice billing workflows

Claims processing aligned with CMS and payer regulations

Monitoring reputed company-related billing impacts (if applicable)

Reimbursement validation and issue resolution

Reviewing claims edits and denial trends

Supporting regulatory compliance monitoring

Assisting with testing and validation of payer-specific updates

Strong knowledge of Home Health and Hospice billing regulations and reimbursement methodologies is preferred.

Key Responsibilities

Application Support & Maintenance

Provide day-to-day support for Home Health and Hospice billing workflows

Respond to and resolve billing-related incidents and tickets

Troubleshoot claim rejections, billing edits, and reimbursement discrepancies

Escalate complex issues as needed and ensure timely resolution

Document and track resolved incidents

Claims & Reimbursement Oversight

Monitor claims processing to ensure accurate reimbursement

Identify trends in denials and recommend corrective actions

Support compliance with CMS and payer requirements

Collaborate with revenue cycle and compliance teams on billing concerns

Testing & Validation Support

Assist with testing related to payer updates, regulatory changes, or system enhancements

Validate billing outcomes prior to deployment

Participate in user acceptance testing when required

Workflow Optimization

Evaluate existing workflows and identify opportunities to improve efficiency

Support continuous improvement initiatives within HH/Hospice billing

Provide guidance to operational teams on system functionality

System Performance

Support system stability in a production environment

Monitor billing performance metrics and escalate anomalies

May participate in an after-hours on-call rotation

Required:

High School Diploma or GED

25 years of Epic Hospital Billing experience in a live production environment

Experience supporting Home Health and/or Hospice billing workflows

Ability to obtain Epic Hospital Billing certification within 6 months

Preferred:

Bachelors Degree

Experience supporting operational billing teams

Strong understanding of CMS reimbursement methodologies for Home Health and Hospice

Experience in a complex healthcare revenue cycle environment

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