Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more thanĀ 600 physicians and other providersĀ who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.
Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization.Ā As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.
The listed pay range or pay rate reflects compensationĀ for aĀ full-time equivalent (1.0 FTE)Ā position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).
Pay Range:
$86,964.80 - $113,672.00Scheduled Weekly Hours:
40Position Overview
Responsible for owning, managing, and optimizing the professional billing functionality within Capital Health's electronic medical record (EMR) system. This role serves as a liaison between clinical, revenue cycle, IT, and operational teams to ensure accurate billing, compliance, and workflow efficiency. The position also requires technical and programming expertise, particularly with IBM i-Series/AS400, to support and enhance billing and integration operations.
Education:
Bachelor's degree in healthcare administration, business, information systems, or related field (or equivalent experience).
Experience:
Three years of experience in healthcare revenue cycle, billing, or EMR system support. Working with IBM i-Series/AS400 providing technical and application support. Hands-on experience with EMR professional billing modules (Epic PB, Cerner, Athena, Allscripts, etc.).
Other Credentials:
Knowledge and Skills:
Strong analytical, problem-solving, and documentation skills. Ability to translate business requirements into technical solutions. Experience with SQL, report writing tools, and data extracts. Knowledge of RPG, RPGILE, CLP, SDA, SQL, and EDI. Familiarity with OpenText EDI and Rocket Software GUI for screen design. Excellent communication and stakeholder management skills.
Special Training:
Experience with healthcare billing compliance requirements (CMS, HIPAA, payer rules). Preferred
Mental, Behavioral and Emotional Abilities:
Usual Work Day:
8 Hours Ā
Does this position formally supervise employees? No
Serve as the subject matter expert (SME) for professional billing modules within the EMR.
Analyze, configure, and maintain billing workflows, charge capture, claim generation, and posting processes.
Collaborate with clinicians, coding teams, and revenue cycle staff to ensure accurate charge entry and reconciliation.
Partner with IT and EMR vendors to manage upgrades, enhancements, and system fixes related to billing.
Conduct requirements gathering, process mapping, and gap analysis for billing workflows.
Document functional specifications for system enhancements and lead testing/validation.
Provide end-user training, support, and job aids for billing system users.
Troubleshoot billing-related issues, escalate to vendors when required, and ensure timely resolution.
Support audits, compliance reviews, and remediation for billing discrepancies.
Provide reporting and analytics on billing performance, denials, and revenue cycle KPIs.
Support programming and technical functions including database operations, report writing, and screen design.
Utilize RPG, RPGILE, CLP, SDA, SQL, and EDI for billing and reporting solutions.
Manage system integrations using OpenText EDI and Rocket Software GUI design.
Perform other duties as assigned.
Frequent physical demands include:
Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities
Continuous physical demands include: Sitting , Keyboard use/repetitive motion
Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Accurate Hearing
Anticipated Occupational Exposure Risks Include the following: Uneven Surfaces or Elevations
This position is eligible for the following benefits:
Medical Plan
Prescription drug coverage & In-House Employee Pharmacy
Dental Plan
Vision Plan
Flexible Spending Account (FSA)
- Healthcare FSA
- Dependent Care FSA
Retirement Savings and Investment Plan
Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
Disability Benefits ā Long Term Disability (LTD)
Disability Benefits ā Short Term Disability (STD)
Employee Assistance Program
Commuter Transit
Commuter Parking
Supplemental Life Insurance
- Voluntary Life Spouse
- Voluntary Life Employee
- Voluntary Life Child
Voluntary Legal Services
Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
Voluntary Identity Theft Insurance
Voluntary Pet Insurance
Paid Time-Off Program
The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.Ā
The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.Ā
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