Epic Applications Analyst III, Resolute or Tapestry

Sutter Health • Sacramento, CA

5d

About The Position

Serves as the primary Epic application contact for assigned modules with a focus on Revenue Cycle. Configures, supports, and optimizes Epic functionality to improve financial performance, ensure regulatory compliance, and support operational efficiency. Provides advanced support for Epic EDI transactions and revenue cycle workflows, including claims, remittances, eligibility, and claim status. Troubleshoots HIPAA transactions (837, 835, 270/271, 276/277, 278), monitors clearinghouse and payer responses, reconciles remittances, and partners with billing and coding teams to resolve issues and optimize reimbursement. Collaborates with revenue cycle stakeholders, IT, and external vendors to design, test, and enhance workflows; supports upgrades, payer implementations, interfaces, and denial root cause analysis. Independently drives system and process improvements to increase clean claim rates, reduce denials, and improve cash flow.

Requirements

• Bachelor's degree in Computer Science, Information Technology, or related field
• Equivalent experience will be accepted in lieu of the required degree or diploma.
• Epic certification is required upon hire.
• 3 years recent relevant experience
• Must be very knowledgeable in a variety of system analysis techniques as well as the organization's policies, procedures, industry best practices and business operations.
• Has Epic knowledge that extends beyond the assigned team module.

Nice To Haves

• Resolute or Tapestry certification is highly desired.

Responsibilities

• Configures, supports, and optimizes Epic functionality to improve financial performance, ensure regulatory compliance, and support operational efficiency.
• Provides advanced support for Epic EDI transactions and revenue cycle workflows, including claims, remittances, eligibility, and claim status.
• Troubleshoots HIPAA transactions (837, 835, 270/271, 276/277, 278), monitors clearinghouse and payer responses, reconciles remittances, and partners with billing and coding teams to resolve issues and optimize reimbursement.
• Collaborates with revenue cycle stakeholders, IT, and external vendors to design, test, and enhance workflows; supports upgrades, payer implementations, interfaces, and denial root cause analysis.
• Independently drives system and process improvements to increase clean claim rates, reduce denials, and improve cash flow.

Benefits

• The compensation range may vary based on the geographic location where the position is filled.
• Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs.
• Base pay is only one component of Sutter Health’s comprehensive total rewards program.
• Eligible positions also include a comprehensive benefits package.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees