UTHealth (University of Texas Health Science Center at Houston)

The analyst will oversee the triage of analytics requests and coordinate the use of Epic reporting tools to meet clinical business needs. They are responsible for data modeling, system support, and the development of reports while ensuring quality standards through rigorous testing and documentation.

The representative manages back-end revenue cycle functions, including insurance follow-up and the resolution of claim denials. They are responsible for coordinating with payers to ensure timely reimbursement and maintaining accurate account documentation.

The representative is responsible for collecting patient information, verifying insurance, and scheduling appointments via an automated call distribution system. They must also maintain high quality standards, ensure HIPAA compliance, and address patient inquiries or concerns.

Responsible for the design, build, testing, and support of Epic Professional Billing modules to optimize revenue cycle processes. Collaborates with stakeholders and IT staff to troubleshoot system issues and implement new functionality via upgrades.

Design, build, and support Epic integrations and interfaces using Bridges, HL7, and FHIR standards. Provide mentorship to other analysts and collaborate with stakeholders to deliver scalable clinical and business workflow solutions.

This role involves the ongoing design, build, testing, validation, and support of assigned Epic modules, specifically MyChart, Ambulatory, and Beaker, while collaborating with stakeholders to troubleshoot issues and capture requirements for new initiatives. Key accountabilities include maintaining module expertise, performing system analysis and build, managing complex production issues, and contributing to project planning and documentation.

The specialist reviews medical documentation to validate or assign and sequence CPT/HCPCS, ICD-10CM, and modifiers for professional encounters in the Ob/Gyn department, applying coding conventions and regulatory guidelines. Key duties include resolving claims edits, performing charge entry for professional services, and ensuring compliance with all applicable guidelines.