Epic Billing Analyst - TEKsystems : Job Details

*Description*

*System Configuration and Optimization: Configure and maintain Epic's Resolute Professional Billing or Hospital Billing module to manage charges, benefit engines, claims, and payment processors.

*Workflow Analysis and Improvement: Analyze workflows, data collection, and report details to identify areas for improvement and implement application solutions.

*Support and Troubleshooting: Act as a primary support contact for end-users, resolving application issues and providing technical assistance.

*Implementation and Upgrades: Lead or participate in the implementation of new systems or features, support system upgrades, and ensure compliance with industry standards (e.g., ICD-10).

*Collaboration and Communication: Liaise between the IT department, billing office, finance, and other stakeholders to tailor systems to meet organizational needs.

*Testing and Documentation: Design, build, test, and document system changes and workflows.

*Reporting and Data Analysis: Develop and generate reports to extract and analyze healthcare data.

*Training: Collaborate with trainers on application changes and new features to develop training materials and strategies.

*On-Call Support: Participate in on-call rotations to provide support for a 24/7 production environment.

*Codes and/or validates all outpatient service area, Diagnosis, E&M, and Modifiers, meeting productivity levels of 90-100 charts per day. Not limited to number of transactions filed.

*Codes inpatient, ASU, and surgical charts, edits, and/or validates physician procedures according to services performed, meeting productivity levels of 65 charts, not limited to number of transactions filed.

*Reviews assigned work-queues and charts to ensure all CPT and/or HCPCS charge codes are accurate based on physician documentation.

*Reviews and keeps updated with all physician billing and coding guidelines.

*Assists physicians in assigning CPT codes that represent treatment provided.

*Reviews Telemedicine Grid per insurance to ensure proper billing.

*Full knowledge of NCCI to review and resolve NCCI edits for Part B physician billing claim edits.

*Full knowledge of company policies and procedures.

*Maintains confidentiality of patient information as per hospital policy.

*Performs other incidental and related duties as required and assigned.

*Skills: coding, CPT coding, coding database software, ICD-10

*Top Skills Details: coding, CPT coding, coding database software, ICD-10

*Additional Skills & Qualifications: Education: Bachelor's degree in IT, IS, Healthcare Informatics or equivalent experience. Experience: 2-3 years in healthcare systems support, Epic experience preferred. Certification: Epic certification in relevant modules preferred. Technical Skills: proficiency in MS Office and project management tools.

*Experience Level: Intermediate

*Pay and Benefits: $105,000 - $140,000/year, with medical, dental, vision, 401K, life insurance, tuition reimbursement, and more.

*Workplace Type: Fully onsite in Hicksville, NY

*Application Deadline: Aug 29, 2025

*About TEKsystems: Leaders in technology services, with a global presence and commitment to diversity and community impact.