EDITECH Expanse Revenue Cycle Redesign Analyst

Quoris, LLC•Madison, WI

5d•Hybrid

About The Position

We are seeking a MEDITECH Expanse Revenue Cycle Redesign Analyst to identify and fix the configuration causes of denied and underpaid claims for a rural community hospital and connected Rural Health Clinic network, then validate remittances following go-live. This role focuses on Expanse Revenue Cycle (BAR on M-AT) — candidates with NPR B/AR experience only will not qualify. The Revenue Cycle Redesign Analyst will serve as the hands-on Expanse revenue cycle configuration expert responsible for auditing RHC billing, tracing charge flow across ancillary applications, rebuilding billing configuration, and adding denial-prevention edits. This individual will work closely with the client's internal revenue cycle team and validate post-go-live remittances to ensure billing accuracy and compliance. The ideal candidate brings 4+ years of MEDITECH Expanse Revenue Cycle (BAR/ABS) build experience on M-AT, deep knowledge of Medicare provider-based RHC billing including the All-Inclusive Rate, and hands-on experience at a small or rural healthcare organization — large-system-only MEDITECH experience does not qualify.

Requirements

4+ years of MEDITECH Expanse Revenue Cycle (BAR/ABS) build experience on M-AT.
Medicare provider-based RHC billing experience for a hospital under 50 beds including the All-Inclusive Rate.
Split billing and provider-based clinic billing experience.
Denial root-cause analysis using remittance data.
Hands-on work at a Critical Access Hospital, Rural Health Clinic, FQHC, or community hospital under 100 beds — large-system-only MEDITECH experience does not qualify.
Ability to travel onsite for go-lives as required.

Nice To Haves

Wisconsin Medicaid (ForwardHealth) RHC billing experience.
Ancillary charge master review experience.
Expanse revenue cycle expert who can independently find configuration-level root causes of denials and fix them — not just report on them.
Deep knowledge of RHC billing mechanics including All-Inclusive Rate, split billing, and provider-based clinic requirements.
Detail-oriented and thorough with a track record of clean remittance validation and denial reduction.
Experienced working alongside internal revenue cycle teams in small and rural healthcare environments.
Brings technical depth, accountability, and a results-driven mindset to every engagement.

Responsibilities

Audit RHC All-Inclusive Rate billing and split billing (technical vs. professional).
Trace charge flow including Lab, Radiology, and Pharmacy charges from NPR applications.
Confirm both clinic areas bill under the single RHC certification.
Rebuild billing configuration with the client's internal revenue cycle team; add denial-prevention edits.
Validate post-go-live remittances through program completion.