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Requirements: We require a bachelors degree in healthcare administration, business, information systems, or a related discipline, or equivalent professional experience. We need prior hands-on experience supporting IBM i-Series/AS400 environments from both technical and application perspectives. We require at least three years of experience in healthcare revenue cycle operations, billing, or EMR system support. We expect direct experience with EMR professional billing modules such as Epic PB, Cerner, Athena, Allscripts, or similar platforms. We value strong analytical thinking, troubleshooting ability, and thorough documentation skills. We need the ability to convert business needs into practical technical solutions. We require experience with SQL, reporting tools, and data extraction methods. We need working knowledge of RPG, RPGILE, CLP, SDA, SQL, and EDI. We prefer familiarity with OpenText EDI and Rocket Software GUI screen design tools. We expect excellent communication skills and the ability to collaborate effectively with a wide range of stakeholders. Experience with healthcare billing compliance standards such as CMS, HIPAA, and payer regulations is preferred.
Responsibilities: We serve as the subject matter expert for professional billing functionality within our EMR platform. We analyze, configure, maintain, and improve billing workflows, charge capture, claim creation, and posting processes. We use RPG, RPGILE, CLP, SDA, SQL, and EDI to support billing operations and reporting needs. We partner with clinicians, coding specialists, revenue cycle staff, IT teams, and vendors to ensure accurate charge entry and reconciliation. We gather requirements, map processes, and assess gaps to support billing workflow enhancements. We document functional specifications, guide testing efforts, and validate system changes. We troubleshoot billing issues, coordinate escalation when needed, and work toward timely resolution. We provide training, support, and job aids to end users of the billing system. We assist with audits, compliance reviews, and correction of billing discrepancies. We produce reports and analytics on billing performance, denial trends, and revenue cycle key metrics. We support technical activities such as database work, report development, and screen design. We manage system integrations using OpenText EDI and Rocket Software GUI design tools. We collaborate with IT and EMR vendors on upgrades, enhancements, and bug fixes related to billing. We perform additional duties as assigned.
Technologies: CMS IBM Support Network SQL
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We are Capital Health, the regions leader in progressive, high-quality patient care, backed by major investment in our physicians, nurses, staff, and advanced technology. Our organization is a dynamic, DNV-accredited health care resource that includes two hospitals, an outpatient center, a satellite emergency department, and a broad network of primary and specialty care services. Our medical group includes more than 600 physicians and other providers delivering both primary and specialty services across the region. This is a full-time, 40-hour-per-week role with a hybrid work arrangement after a 90-day probation period. We offer a competitive compensation package, with a listed pay range of $86,964.80 to $113,672.00 for the full-time equivalent position, and eligibility for a comprehensive benefits program that includes medical, dental, vision, prescription coverage, retirement savings, life and disability insurance, employee assistance support, commuter benefits, paid time off, and a range of voluntary coverage options.
last updated 21 week of 2026
Sprachkenntnisse
- English
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