Hire the Best Epic Systems Medical Software Specialists in California

I am a highly motivated and detail-oriented Medical Coder with advanced expertise in PointClickCare and extensive hands-on experience in high-volume Skilled Nursing Facility (SNF) environments. My focus is on ensuring coding integrity and optimizing reimbursement through precise clinical documentation analysis. * Post-Acute Care Specialist: Specialized training in ICD-10-CM coding specifically for post-acute care settings. * PDPM Mastery: Deep knowledge of Patient-Driven Payment Model (PDPM) categories to ensure accurate payment mapping. * Software Proficiency: Expert-level navigation and data management within PointClickCare. * Clinical Analysis: Adept at auditing complex clinical records to identify accurate diagnoses and capture all appropriate comorbidities.

I help healthcare organizations improve cash flow and reduce denials through accurate billing, coding, claims analysis, and AR cleanup. 15+ years of RCM experience with Epic, Cerner, AthenaOne, AdvancedMD, Meditech, and multi-specialty practices. With more than 15 years of hands-on experience in medical billing, coding, claims analysis, and RCM leadership, I provide both day-to-day billing support and higher-level consulting that withstands consultant and actuarial review. Core Strengths: Medical Billing & Coding – CPT/ICD-10, UB04, HCFA 1500, commercial, Medicare, Medicaid; specialties include cardiology, behavioral health, telehealth, and multi-specialty physician groups. Claims & AR Management – Eligibility verification, benefits checks, denial follow-up, collections, payment posting, and AR cleanup. EHR/RCM Platforms – Epic, Cerner, AthenaOne, AdvancedMD, Meditech, Medhost, Allscripts, Waystar, SSI, and HMS. Process Improvement – Identifying gaps in charge capture, compliance, and registration; implementing fixes that reduce AR days and increase first-pass resolution. Data & Reporting – Building Excel-based reimbursement and ROI models, payer policy analysis, KPI dashboards, and compliance reporting. Training & Support – Led training for 200+ Epic front-end staff, improved cash collections, and reduced registration errors. Highlighted Accomplishments: Reduced $470K in outstanding SSI billing holds across multiple facilities in 3 months. Trained over 200 Epic patient access representatives, improving POS collections and reducing errors. Spearheaded AR analysis and compliance reporting, reducing AR by millions while enhancing revenue cycle performance. Supported Epic, Cerner, AthenaOne, Meditech, and Medhost go-lives, ensuring smooth end-user adoption and operational readiness. Partnered with CFOs, directors, and physicians to implement standardized charge capture processes that recovered significant lost revenue. Why Clients Work With Me: U.S.-based, HIPAA-trained, and detail-oriented — I understand both the compliance and operational sides of healthcare. Flexible engagement model — available for part-time support, long-term engagements, or project-based work. Communication-first approach — I keep leadership, staff, and stakeholders aligned so billing runs smoothly and financial results are clear. If you need a medical billing and RCM professional who can step in immediately, manage claims with accuracy, and provide data-driven insights to improve your financial performance — let’s connect.

Detail-oriented Medical Billing Specialist with 5+ years of experience managing insurance claims. I am a analytical biller able to problem solve based on the information given to me. Very fluent with the billing process from start to finish. An aggressive collector in the revenue process. I have experience billing for Optometry, Mobile/Private practices, Hospital & Insurance companies. I find great pleasure in helping providers get paid for their services. Highly familiar with the following EMR systems: Epic OfficeAlly Practice Fusion Athena Ms4 Oasis Compulink NextGen Allscripts Need billing help, denials not your expertise or just someone to help with the claim process? Have a special project? Switching EMR systems? Need data entry assistance? I am here to help with your medical administrative needs, lets connect!

I am a Senior Clinical Analytics Specialist with extensive experience in healthcare data, retail data, and Epic systems. My expertise spans multiple areas of data analysis and reporting, allowing me to deliver accurate and insightful solutions tailored to your business needs. Key Qualifications: - Certified in Epic Clarity, Epic Caboodle, Revenue Integrity Data Model, Health Information Management Data Model, HB Revenue Cycle, Health Plant (Population Health) and more. - Also, Tableau Desktop Certified and Oracle SQL Expert-level Certification, with advanced knowledge in data querying and database management. - Proven track record of providing data-driven insights and implementing effective analytics solutions across various Epic modules and healthcare systems. - Skilled in optimizing workflows, streamlining data reporting, and improving healthcare information management. With several years of experience in healthcare and retail data analytics, I am well-equipped to handle complex data challenges quickly and with precision. My deep understanding of Epic modules and healthcare information management enables me to support your projects efficiently, ensuring the best outcomes. Example of top 15 high-impact Epic Clarity / Caboodle highly complex and important queries I have developed and delivered to HIM, Revenue Cycle, Compliance, Operations, and Clinical Leadership teams to support strategic organizational decisions: 1. Days in Accounts Receivable (AR Days) o Purpose: Measures the average number of days it takes to collect payment after a service is provided. o KPI: Average AR Days (target often < 45). o Example: Used by the CFO to monitor billing efficiency and cash flow performance; includes DNB balances and total charges. 2. Revenue Integrity Charge Reconciliation o Purpose: Identifies missing, delayed, or incorrectly billed charges. o KPI: Charge Lag, Missing Charges, Late Charges. o Example: Reconciles performed procedures with missing CPT/HCPCS codes or charges not posted within 3 days of service. 3. Claim Denials and Rework Report o Purpose: Analyzes claims denied by payer, department, denial code, and user. o KPI: Denial Rate, Rework Volume, Avoidable Denials. o Example: Revenue cycle leadership uses this to identify patterns and reduce future denials. 4. Release of Information (ROI) Turnaround Time o Purpose: Measures the time from receipt of a medical records request to fulfillment. o KPI: Average Fulfillment Time, Compliance with 14-Day Rule. o Example: Used by HIM leadership to evaluate vendor or internal HIM team performance and HIPAA compliance. 5. HIM Deficiency Tracking Report o Purpose: Tracks outstanding physician documentation deficiencies post-discharge. o KPI: Days to Completion, Deficiency Type, Suspended Charts. o Example: Supports physician follow-up and HIM compliance audits. 6. Patient Throughput and Length of Stay (LOS) Analysis o Purpose: Evaluates inpatient and observation LOS to optimize care efficiency. o KPI: Avg LOS vs. Expected LOS, ED to Bed Time, Discharge Delays. o Example: Used by quality teams to identify throughput bottlenecks and reduce readmissions. 7. Clinical Documentation Improvement (CDI) Query Tracking o Purpose: Tracks CDI queries, response times, and financial impact. o KPI: Query Response Rate, MCC/CC Capture, DRG Impact. o Example: Helps CDI teams quantify impact and target provider education. 8. Payer Mix and Financial Class Analysis o Purpose: Breaks down accounts by payer type and financial class. o KPI: % Medicare, Medicaid, Commercial, Self-Pay. o Example: Finance uses this to adjust for shifting reimbursement trends. 9. Hospital-Acquired Conditions (HAC) and Patient Safety Indicators (PSI) o Purpose: Identifies reportable safety events impacting CMS reimbursement. o KPI: HAC Rate, PSI 90 Composite. o Example: Supports Quality Improvement initiatives and risk mitigation. 10. Late Charges and Charge Lag Report • Purpose: Identifies charges posted after service or discharge dates. • KPI: % Late Charges, Average Posting Lag. • Example: Used by Revenue Integrity to reduce revenue leakage by targeting specific departments. 11. Patient Access Performance Dashboard • Purpose: Measures front-end operations including registration accuracy and authorization delays. • KPI: Clean Registration Rate, Authorization Turnaround Time. • Example: Helps Patient Access leadership monitor staff performance and minimize billing holds. 12. Revenue Integrity Charge Capture Dashboard • Purpose: Tracks undercoding, charge edits, and delayed entries across service lines. • KPI: Missed Charges by Dept, CPT/Rev Code Mismatches. • Example: Ensures completeness of charge entry across all care settings. 13. Inpatient Coding Productivity and Quality Dashboard • Purpose: Monitors coders' workload, accuracy, and audit outcomes. • KPI: Charts Coded per Day, DRG Accuracy, Query Rate. • Example: Used by HIM managers for staffing and productivity benchmarking. 14. Audit Trail and Record...

HIPAA Certified | Medical Billing & RCM Specialist | US Healthcare Expert | Helping Providers Maximize Revenue With over 10+ years of experience in healthcare revenue cycle management, specializing in Durable Medical Equipment (DME) and Physician billing. Skilled in managing the full billing process — from patient registration and insurance verification to claims submission, payment posting, and denial management. Proficient in multiple EHR/EMR systems and billing platforms, including Kareo, AdvancedMD, DrChrono, Brightree, TherapyNotes, SimplePractice, and Waystar. Demonstrated expertise in CPT, ICD-10, and HCPCS coding, insurance follow-up, and payer compliance. Adept at resolving claim denials and optimizing reimbursement while maintaining accuracy, confidentiality, and compliance with HIPAA and payer regulations. Core Skills & Tools: Medical billing and collections for DME and Mental Health practices EHR/EMR platforms: Kareo, Brightree, AdvancedMD, TherapyNotes, SimplePractice, DrChrono Insurance verification and prior authorization CPT, ICD-10, and HCPCS coding knowledge Claim submission (EDI, paper, and clearinghouses) Payment posting and denial management Payer portal navigation and insurance follow-up HIPAA compliance and patient data confidentiality Excellent communication and problem-solving skills

I am a top-notch Epicor and MS SQL Server consultant with 15 years of Epicor consulting experience and over 100 Epicor implementations. I was one of the original designers, a lead developer of Epicor Enterprise, and a critical techno-functional resource at Epicor for five years. I am an independent specialist working with Epicor clients on complex implementations with automation, customization, integration, and optimization requirements. I have a long track record as an innovative and adaptive consultant, known for my creative, results-oriented implementations and innovative customizations of multiple ERP systems. I commonly deal with fixing work that other, more affordable resources broke or failed to deliver on. My extensive experience with various ERP systems leads me to consistently find significant issues with organizations’ ERP implementation. These findings typically point to recouping revenue at 20% annually. The repeated ability to identify and correct substantial opportunities for savings/growth creates a shift in my customers' view of my services as an investment rather than a cost. I also have in-depth experience with technical and functional aspects of Epicor implementations, including configuring operational and accounting procedures, optimizing user interaction, automating, working around Epicor bugs, and establishing best practices for most modules. I have completed multiple Epicor Manufacturing & Distribution implementations using Epicor Kinetic, E10, and E9. Projects include upgrades from E9 and E10 to Kinetic. I commonly develop BPMs, BAQs, Dashboards, Customizations (UD tables, .Net WCF, Service Connect), Custom Alerts, Stored Procedures, and SSRS Reports. Recent projects: - Implementation of Epicor Kinetic 2022, including UI customization, a 2-way interface between Salesforce and Epicor, and a custom interface of KBmax to Epicor - Upgrade of Epicor from E9 to Kinetic, including UI customization redevelopment in Kinetic, Crystal to SSRS conversion, Service Connect to JitterBit/RestAPI development, and Handheld to Epicor Mobile warehouse - Epicor to Shopify two-way integration (Sales Order creation, Inventory update, Order status update) - Salesforce 2-way integration to Epicor using RestAPI (Customer sync, Order sync, Balance sync, Inventory Sync) - Epicor 2-way Amazon Web Services integration (XML, Orders, Shipments, Fulfillment Ack., Cancelations) - Epicor Administration (Mobile Field Service, Replication, AFR, EWA, EPM, Service Connect, DMT) - Magento to Epicor automation (Order, CC authorization & capture (Chase, PayPal), Shipment, 940 & 945 EDI) - Epicor to Concur 2-ways integration (AP, PO, Travel & Expense, Credit Card reconciliation) - JobBoss to Epicor conversion as part of a complete implementation of 10.1 for a multi-national company. - ShopKeeper to Epicor conversion as part of a complete implementation of 10.1 - Demandware to Epicor automation (Order creation, Shipment creation, PayPal authorization) - Created 30 dynamic MOM/BOM configurations, which were extended with custom C# code that interfaces with the Customer's web portal to export the Web Orders to Epicor as Quotes with configurator values. - Epicor AP & AR Bank interfaces (NACHA, ACH, Wire, Positive pay, Check Register) - EDI implementation (IBM Sterling Gentran & Epicor Demand Workbench & XML interfaces, 831, 855, 856) - Epicor Project Manager for a large multi-national organization, which included the creation, maintenance, and publication of project plans and schedules, including the development of functional requirements, project communications, project schedules, action items log, issues list, current and future workflows, procedures, and technology/operational gap analysis. Completed the setup of multi-national companies, multi-currencies, multi-plants, Global parts, customers, and vendors. My rate ranges from $150 to $185, depending on the contract.