Epic Revenue Cycle Application Director

Job Description

We are seeking an Epic Revenue Cycle Application Director to join our team. This role supports the planning and management of the organization's revenue cycle application portfolio, initiatives, and projects. The position collaborates with clinical, operational, financial, and technical stakeholders to optimize workflows, maintain system integrity, and support efficient revenue cycle operations.

The Epic Revenue Cycle Application Director provides leadership and oversight of the Revenue Applications team, including revenue cycle analysts. Responsibilities include establishing team priorities, overseeing application implementations and enhancements, ensuring compliance with change control processes, and supporting the ongoing optimization of revenue cycle applications and related systems.

Location: Hybrid Position. Candidates pursuing a hybrid work environment must work on-site in Hilo at regular intervals throughout the year (approximately four times per year for visits of approximately one to two weeks each). Airfare and lodging will be paid for by East Hawaii Medical Group, in accordance with our policies.

Essential Job Functions:

• Develop and execute the strategic roadmap for revenue cycle applications to align system optimization with the organizations revenue cycle, operational, and financial goals. Exercise independent judgment and discretion to establish multi-year priorities, sequence initiatives, define success measures, and recommend capital and operating investments to executive leadership.
• Ensure revenue cycle workflows support accurate charge capture, clean claim submission, denial prevention, and compliant billing. Partner with Compliance, HIM/Coding, Finance, Patient Accounting, Ambulatory Finance and Patient Access on revenue integrity initiatives, ensure regulatory and payor contract requirements are being met, and participate in Charge Description Master (CDM) and revenue integrity governance.
• Oversee revenue cycle module applications as assigned (e.g., Resolute Hospital Billing, Resolute Professional Billing, Single Billing Office, Prelude, Cadence, HIM, Claims, Charge Router, Real-Time Eligibility/Benefits). Ensure system integrity, standardization, and workflow alignment across facilities. Monitor application performance, stability, and adoption metrics.
• Assist with leading major implementations, upgrades, conversions, and expansions.  Oversee revenue cycle applications integrated testing, validation, and upgrade planning.  Drive post-go-live stabilization and long-term optimization activities.
• Direct revenue cycle application staff, with authority and significant influence over hiring, onboarding, performance evaluation, corrective action, disciplinary recommendations, and termination decisions. Establish performance expectations, conduct formal evaluations, and approve professional development plans, work schedules, and time-off requests. Manage staffing matrix, workload prioritization, and assist with budget planning, including recommendations on FTE allocation, position classification, and compensation actions. Foster a culture of accountability, collaboration, and service excellence. Oversee revenue cycle ticket prioritization and escalation pathways, exercising independent judgment to assign work, redirect priorities, and commit departmental resources to resolution.
• Facilitate communication and collaboration between stakeholders, including end-users, IT staff, vendors, and executive leadership, to promote project success and user adoption.
• Assist in monitoring and analyzing revenue cycle key performance indicators (e.g., AR days, denial rate, clean claim rate, charge lag, DNFB), application user performance metrics, and user feedback to identify areas for improvement and optimization.
• Support change management efforts to promote user acceptance and engagement with the revenue cycle applications, including training, communication, and support activities.
• Stay informed about industry trends, emerging technologies, regulatory changes, and best practices in healthcare IT, EHR systems, and revenue cycle management, providing recommendations and insights to the EHR director and executive leadership.
• Engages with revenue cycle leaders, Finance, HIM/Coding, Patient Access, Patient Accounting, Ambulatory Finance, Compliance, payor relations, and multi-disciplinary project teams to lead the implementation, standardization, utilization, and optimization of revenue cycle applications and supporting tools. Provides the operational and financial underpinnings for technical solutions along with supporting business processes.
• Formulate, recommend, and approve operating policies, internal controls, and standards governing the revenue cycle analyst team, build configuration, change management, security model, and the revenue cycle application lifecycle. Independently interpret and apply organizational policy, regulatory and contractual requirements (CMS, HIPAA, OIG, payor contracts, NCCI edits, and ICD-10/CPT/HCPCS coding standards), and Epic governance frameworks to matters of significance affecting enterprise revenue cycle operations across the East Hawaii Region.
• Manage assigned portions of the Revenue Applications operating, capital, and project budgets. Approve expenditures within delegated signature authority, monitor variances, and recommend budget reallocations and contract spending decisions to advance departmental and organizational objectives. Develop annual budget proposals and business cases for new investments, optimization initiatives, and staffing changes.
• Negotiate and recommend approval of vendor statements of work, software licensing terms, and professional services agreements in coordination with IT leadership, Legal, and Procurement. Serve as the operational authority on vendor performance reviews, escalations, and contract renewal decisions affecting the revenue cycle application portfolio.
• Act on behalf of the EHR Director during absences, representing the department in executive forums, governance committees, vendor escalations, and regional leadership meetings. Exercise independent judgment to commit the department to courses of action on matters that cannot reasonably await the Director's return.
• Investigate complex operational, personnel, and revenue cycle system issues escalated by staff, payors, or department leaders. Exercise independent discretion to determine root cause, authorize corrective and preventive actions, and present findings, risk assessments, and recommendations to the Director, CIO, CFO, and other senior leaders.
• Develop and implement revenue integrity strategies, policies, and procedures to support compliant billing, accurate revenue capture, quality, and operational efficiency.
• Provide oversight on projects as assigned in collaboration with IT, Finance, HIM, Patient Access, Patient Accounting, Ambulatory Finance, or other departments.
• Participation in additional work-forces, teams and/or assignments to facilitate adoption of technology into revenue cycle practice.
• Adhere to all patient privacy, information security, and revenue integrity policies and procedures; ensures all staff are informed on these policies; monitor compliance.
• Maintains the strictest confidentiality of all hospital and hospital-related employee/patient information and provides an environment conducive to the maintenance of confidentiality.
• Follows all applicable rules, policies, laws, regulations, and accreditation requirements.
• Works cooperatively with other staff members, departments and outside agencies.

• Performs other duties as assigned.

   

Qualifications:

Certification:

• Epic Resolute Hospital Billing, Resolute Professional Billing, or related revenue cycle module certification preferred. HFMA (CRCR, CHFP), AAPC (CPC), or AHIMA (CCS, RHIA) highly preferred.

Licensure:

• Relevant healthcare finance, coding, or revenue cycle credentials highly preferred.

Experience:

• At least five (5) years of specialized experience involving Electronic Health Record (EHR) systems and integrated revenue cycle applications, including knowledge of hospital and provider revenue cycle operations, healthcare finance, and healthcare delivery systems. Experience must demonstrate the ability to lead people and processes, manage projects and priorities, and effectively collaborate with employees, leadership, vendors, and other stakeholders.
• Supervisory Experience: Four (4) years of experience which included planning and directing the work of others; assigning and reviewing their work, advising them on difficult problem areas; timing and scheduling their work; and providing training.

Education:

• Bachelor's degree from an accredited college or university in Business, Finance, Accounting, Healthcare Administration, Health Information Management, or a related field.

Skills:

• Strong knowledge of revenue cycle operations, healthcare finance, and healthcare information systems.
• Demonstrated leadership, project management, and team development skills.
• Strong analytical, problem-solving, and decision-making abilities.
• Effective communication and interpersonal skills, with the ability to collaborate across departments and organizational levels.
• Knowledge of healthcare regulatory requirements, billing and coding standards, and compliance practices.
• Ability to manage multiple priorities, exercise independent judgment, and drive process improvement initiatives.
• Strong organizational skills with attention to detail and a commitment to quality.

Company Description

East Hawaii Medical Group (EHMG), an affiliate of the East Hawaii Region of Hawaii Health Systems Corporation, is dedicated to advancing high-quality, patient-centered care throughout East Hawaii. Serving Hilo Benioff Medical Center, Honokaa Hospital, Ka'u Hospital, and the Yukio Okutsu State Veterans Home, EHMG ensures that providers are equipped to deliver exceptional care to our island communities.

Established with our mission to improve the health and well-being of East Hawaii, EHMG's administrative teams play a critical role in strengthening provider operations, optimizing workflows, and enabling sustainable, high-quality patient care across the region.

Benefits

• Medical, dental, and vision coverage available, with employee-only coverage fully covered by the group and employer contributions provided toward eligible dependent coverage.
• 20 days (160 hours) Paid Time Off (PTO)
• 13 paid holidays each year (104 hours); 14 (112 hours) during election years
• Eligibility to participate in 401(K) with match after three months of service

* Rates listed for paid holidays and PTO days are for 1.0 Full Time Equivalent (FTE) positions assigned to 8 hour shifts. Accruals for these benefits are otherwise prorated based on FTE.
* Compensation -The posted compensation range reflects the organization’s estimated pay for this position. Actual compensation will be based on qualifications and experience, and may vary from the posted range as permitted by law.

Benefits

#IND

About Hilo & The Big Island

Hilo is located on the east side of the island of Hawaii, and has a quaint, old-Hawaii, small town atmosphere. Our island offers amazing rainforests, waterfalls and beaches. The hospital staff is community-oriented and strive to provide competent and compassionate care to every patient that enters our doors. The area is home to the Hawaii Community College, University of Hawaii, Hawaii Volcanoes National Park, excellent schools and convenient shopping.

Pre-Employment Health Requirements

Offers of employment will be contingent on successfully passing a pre-employment examination, which includes a drug screen and other regulatory medical requirements such as, but not limited to, a tuberculosis (TB) screen.  The cost for drug screening and blood draw for QuantiFERON and Titers, shall be borne by the Hawaii Health Systems Corporation.

Pre-Employment Assessments for External Candidates

As part of the recruiting process for this position, external applicants (job applicants NOTemployed by HHSC’s East Hawaii Region) are required to complete pre-employment assessments shortly after application submission. If you are not an employee of the East Hawaii Region of HHSC, you will receive an email containing assessment instructions. We ask that you complete the assessments within two days of receipt of the request. 

EHMG - Drug Free, Equal Opportunity Employer, E-Verify

The East Hawaii Medical Group is a drug-free workplace, an Equal Opportunity Employer, and conducts employment verification through E-Verify.