Epic Analyst- Claims and Remittance

At OrthoCarolina, our team is our greatest asset and the foundation of our success. We are a diverse group of individuals, accountable to each other to uphold the standards of excellence and promote an environment of teamwork throughout the organization.  OrthoCarolina has 43 unique care locations with over 1700 professionals who share a common goal to make lives better. Our employees are eligible for a full spectrum of benefits including paid company holidays, wellness programs, and tuition reimbursement. To learn more about Team OC please visit  https://www.orthocarolina.com/about-us 

OrthoCarolina is currently seeking an experienced Epic Applications Analyst with a focus on Claims and Remittance to join our dynamic Epic team in Charlotte. This role plays a critical part in supporting our revenue cycle operations and driving efficient claims processing and reimbursement workflows.

Essential Functions:

• Support the build, maintenance, and optimization of the Epic Electronic Health Record (EHR) system, specifically related to claims and remittance processes.
• Collaborate with operational stakeholders to translate business needs into system functionality and configurations that support efficient and accurate claims submission and reconciliation.
• Analyze claims workflows and data to identify and resolve issues impacting revenue cycle performance.
• Contribute to system upgrades, testing, and documentation to ensure regulatory compliance and performance standards are met.
• Partner with billing, coding, and IT teams to troubleshoot, test, and enhance claims workflows within Epic Resolute.

Skills & Abilities:

• Strong understanding of the claims lifecycle, from submission to remittance, with the ability to investigate upstream and downstream issues.
• Proficient in electronic claims submission and electronic remittance advice (ERA) workflows.
• Knowledge of insurance data elements, claim forms (such as 837/835 formats), and reimbursement processes.
• Ability to identify and troubleshoot root causes of claim errors, denials, or mismatches.
• Familiarity with revenue cycle functions and how claims processes intersect with other departments such as billing, registration, and coding.
• Strong analytical and problem solving skills with attention to detail and data accuracy.
• Excellent communication skills and ability to translate technical concepts into operational solutions.

Qualifications:

• Bachelor’s degree in a related field or equivalent experience.
• Minimum of 3–5 years of experience in healthcare IT, with a focus on claims and remittance processes.
• Epic Certification- Claims & Remittance required
• Working knowledge of healthcare financial systems, clearinghouses, and payer interfaces is a plus.