Epic Revenue Cycle Manager

The Epic Revenue Cycle Manager is responsible for leading the strategy, configuration, optimization, and ongoing support of Epic Hospital Billing (HB) and Professional Billing (PB) modules. This role manages a team of Epic revenue cycle analysts and partners closely with Revenue Cycle, Finance, Compliance, and IT leadership to ensure accurate charge capture, billing, and reimbursement workflows across the enterprise. The manager drives Epic best practices, governance, and continuous optimization initiatives to improve revenue integrity, operational efficiency, and financial performance.

Key Responsibilities

• Lead and manage Epic HB and PB teams, including analyst workload planning, prioritization, and performance management
• Own the Epic revenue cycle application strategy for Hospital Billing and Professional Billing
• Oversee configuration, optimization, and maintenance of Epic HB and PB including charge routing, claim generation, edits, and billing workflows
• Partner with Revenue Cycle leadership (PFS, Coding, Compliance, Finance) to design and implement optimized end-to-end billing workflows
• Ensure seamless integration with Epic Prelude/ADT, Cadence, HIM, Clinical Documentation, and Reporting modules
• Establish governance, change control, and documentation standards for Epic revenue cycle build
• Lead Epic implementations, upgrades, and major optimization initiatives related to HB and PB
• Monitor revenue cycle KPIs including charge lag, DNFB, clean claim rates, denials, and reimbursement performance
• Identify and resolve systemic billing, charging, and reimbursement issues through root-cause analysis
• Ensure compliance with CMS, payer, and regulatory requirements
• Support testing activities including integrated testing and user acceptance testing (UAT)
• Collaborate with Epic, third-party vendors, and internal stakeholders on enhancements and issue resolution

Required Qualifications

• Epic HB and Epic PB Certification (active or eligible)
• 7+ years of Epic revenue cycle experience with a focus on HB and PB
• 3+ years of experience in a leadership or management role
• Strong understanding of hospital and professional billing workflows and payer requirements
• Experience leading Epic implementations, major upgrades, or enterprise-wide optimizations
• Proven ability to lead cross-functional teams and manage complex initiatives
• Strong analytical, communication, and stakeholder management skills

Preferred Qualifications

• Experience in large health systems or academic medical centers
• Knowledge of charge description masters (CDMs), DRGs, APCs, and payer contract modeling
• Experience with Epic Reporting, Clarity, Caboodle, or revenue cycle dashboards
• Familiarity with denial management, reimbursement modeling, and financial analytics
• Bachelor’s degree in Healthcare Administration, Business, IT, or related field (Master’s preferred)
• On-site, hybrid, or remote depending on organizational needs
• After-hours support may be required during go-lives, month-end close, or critical billing cycles