General Summary

Under limited supervision, performs analysis of results, drafts solutions and/or recommendations. Responsible for building, configuring/and or modifying applications using existing application tools. Assists with ongoing maintenance and special projects. Writes documentation specifications, fact-finding and analyzes complex results and proposes solutions or recommendations. Act as a resource to Revenue Integrity (“RI”) and clinical department end users related to questions and concerns regarding charge structure, build and usage of existing application tools.

Supports the Revenue Integrity Management Team related to application build, testing, ongoing maintenance and special projects. Provides mentoring to the team related to application optimization and troubleshooting charge/billing related issues to reduce errors and enhance efficient and effective workflows. Supports the RI team with data extraction and report creation to perform data analysis of volume and revenue trending at the clinical department level.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

1. The Epic Technical Specialist III should be proficient in Resolute Hospital Billing Charge Description Master; must maintain Epic new version training requirements on an ongoing basis.
2. Assists in the day to day supervision and direction of the entry level Revenue Integrity Epic Technical Specialists in the performance of their duties in accordance with departmental and UMMS policies and procedures.
3. Performs and coordinates complex analysis, design, development, testing and support services for assigned applications, including application and impact analysis of new or different applications, processes or changes, under guidance.
4. Oversees application analysis and impact analysis of new or different applications, processes or changes.
5. Validates build and design of application, under the control of the change management application and user development request.
6. Coordinates development of application testing scripts and conversion plans. Participates in testing as assigned.
7. Performs integrity checks on CDM addition, deletions and change requests submitted in content management tickets prior to data migration to ensure compliance with change management policies and procedures.
8. Provides advanced application support and guidance to end users and provides technical guidance to less experience personnel. Serves as a point of contact for application problems and identifies resolutions.
9. Makes recommendations with limited guidance and provides alternatives with regards to various development and support initiatives.
10. Actively participates in service line discussions to understand charge capture workflows and charge triggering logic. Collaborates with Revenue Integrity Specialists on CDM related decisions regarding pricing, concepts, HSCRC methodology and select reimbursement concepts.
11. Collaborates with Revenue Integrity Specialists, application analysts, and clinical informatics to ensure that the appropriate ancillary and clinical module charge capture tool(s) are updated appropriately.
12. Prepares written documentation of various types; application documentation, analytical reports, functional specifications, training manuals, status reports, etc. Creates, evaluates and instructs/teaches others.
13. Troubleshoots issues, provides guidance and provides training or solutions to end users.
14. Independently analyzes new functionality in new releases to identify impact.
15. Demonstrates a thorough understanding of interfaces (i.e., requirements, troubleshooting, testing, etc.).
16. Provides assigned on-site support during go-lives and system upgrades.
17. Stays current on health care and technology topics and pursues opportunities to expand knowledge.

The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and children’s health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you’ll enjoy as a member of our team. 

Education and Experience

1. Bachelor’s Degree required. Specialization in Healthcare, Finance, IS&T or equivalent related subject is preferred.
2. Epic Certification obtained within 12 months of hire.
3. Five (5) years healthcare IT experience is required.
4. One (1) to Two (2) years of IT implementation (add or related experience) and/or support experience required.

Knowledge, Skills and Abilities

1. Ability to perform and teach analysis and problem-solving principles with emphasis in user relations, data gathering techniques, and management information applications to RI staff is required. Serves as a resource to others in the resolution of complex problems and issues.
2. Demonstrates ability to develop complex specifications for all aspects of applications, and familiarity with problem analysis, hardware/software configurations and application integration.
3. Able to teach application functionality, design standards, process changes to the end user community and train the trainer.
4. Makes recommendations regarding the integration/relationship between and among organizational applications.
5. Effective customer service skills, with the ability to work with all levels within the organization.
6. Able to teach application functionality, design standards, and process changes to the end user community and train the trainers.
7. Adheres to applications security and control procedures in accordance with departmental, vendor standards and regulatory bodies. Makes recommendations as necessary.
8. Effective at supervising and monitoring of daily work activities, evaluating performance, and training of subordinates.
9. Effective verbal and written communication skills are necessary to advise and consult with user personnel and make formal presentations of project findings and recommendations.
10. Excellent organization skills; demonstrates confidence and creativity.
11. Advanced knowledge of HSCRC, state and federal reimbursement laws and regulations, as well as ICD 10 and AMA Current Procedure Terminology is preferred.
12. Expert knowledge of spreadsheets (i.e., Microsoft Excel), databases (i.e., Microsoft Access), word processing programs (i.e., Microsoft Word), graphic/ specialty and other finance-related software programs.
13. Highly effective data analytic skills required. Ability to organize, combine, filter, and perform calculations on large datasets.
14. Ability to handle confidential issues with integrity and discretion.
15. Ability to work effectively in a stressful environment.

Working Conditions/Physical Demands

1. Position may require flexible work schedule, including night and weekend support of major implementations or major system support efforts.
2. Weekend, shift work, holiday and on-call work beyond normal business hours may be required to complete projects, meet deadlines, or respond to emergencies.
3. Work is performed in various environments within UMMS.
4. Work may include regular travel to and from the various affiliated institutions within the Medical System.
5. Work may be required in a Healthcare facility which the observance of “Universal Precautions” is mandated. Universal Precautions involves the wearing of protective clothing/equipment and the observance of safe work practice.
6. Work is high demand and fast paced.
7. Talking and hearing necessary for conversations with UMMS staff members.