Healthrise

Director

• Serve as a core member of the senior IS leadership team and contribute to governance of the enterprise application portfolio
• Partner with clinical, physician, operational, best-practice, and governance leaders to develop and sustain application solutions
• Ensure current and proposed system architectures support enterprise goals
• Guide the design, build, and implementation of integrated, end-to-end software solutions
• Track healthcare IT trends and emerging technologies to anticipate future needs
• Advise the CIO, IT vice presidents, and executive leaders on technology direction
• Provide regular written and in-person updates on projects and systems
• Define, communicate, and enforce standards for systems, infrastructure, and software
• Hire, coach, evaluate, and develop staff, including individual career-path planning
• Establish application management policies and procedures protecting system integrity and availability
• Oversee service level agreements with end-user departments through monitoring and performance management
• Contribute to enterprise disaster recovery and business continuity planning
• Respond quickly and constructively to emerging priorities and ad hoc needs
• Comply with IS policies and standards, project management methodology, security requirements, and HIPAA privacy and security rules governing ePHI

Executive Director – Epic Revenue Cycle Applications

Biller

• Manage full-cycle billing for Home Health, Hospice, and SNF claims, including claim generation, scrubbing, submission, and follow-up
• Prepare and submit claims via the Vision system, ensuring accurate billing data, revenue codes, HCPCS/CPT codes, and post-acute billing modifiers
• Monitor claim status, resolve rejections and denials, and resubmit corrected claims
• Work claim edits, RTP (Return to Provider), and ADR (Additional Documentation Request) queues
• Proactively work AR aging for unpaid, underpaid, and pending claims
• Contact payers by phone, portal, or written correspondence to resolve outstanding claims and accelerate payment
• Research and appeal underpayments and denials, coordinating with coding or clinical teams as needed
• Document AR follow-up activity and account history
• Post payments, adjustments, and denials accurately across Medicare, Medicaid, and commercial payers
• Reconcile cash posting against ERA/EOB remittances and bank deposits
• Research and resolve posting discrepancies, unapplied cash, and payment variances
• Apply PDGM, hospice election periods and NOEs, and SNF PPS/consolidated billing requirements
• Maintain compliance with payer guidelines, timely filing deadlines, CMS, and state Medicaid requirements
• Collaborate with intake, coding, and collections teams to resolve billing holds and documentation gaps
• Serve as a contact for billing and cash-posting questions
• Meet client/account productivity and quality standards
• Perform other duties as assigned

Home Health, SNF Full Cycle Biller

• Lead a focused, short-term engagement supporting the client's Cath Lab charge capture function
• Conduct a comprehensive departmental audit of Cath Lab charging and coding practices, focusing on high-dollar items
• Review charts at a standard audit-level capacity within the allotted timeframe
• Confirm accurate charge capture and identify dropped or missed charges
• Evaluate CDM structure, charge capture workflows, and coding alignment with CPT, HCPCS, ICD-10, and payer-specific requirements
• Analyze documentation, coding patterns, and charge utilization to identify optimization opportunities and revenue-variance root causes
• Develop audit findings, gap analyses, and prioritized recommendations aligned with regulatory guidance and industry best practices
• Deliver post-audit recommendations supporting sustained accurate charge capture
• Partner with operational leaders, revenue integrity, compliance, and clinical departments to support recommended changes
• Support continuity of Cath Lab charge capture oversight during the current resource's retirement
• Develop executive-level summaries covering financial impact, compliance exposure, and implementation roadmap
• Use Epic to validate charge logic, identify trends, and support data-driven recommendations
• Maintain project documentation, status updates, issue tracking, and mitigation strategies
• Travel to the client site as required

Executive Director – Epic Revenue Cycle Applications

Home Health, SNF Full Cycle Biller

Director, Coding Consulting – Cath Lab Charge Capture Audit