Director of RCM EPIC Optimization Patient Financial ...

Job Description Director of RCM EPIC Optimization Patient Financial Services -Corporate 42 nd Street- Full-Time-Days (Hybrid) The Director of EPIC Workflow Optimization for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which includes the MSHS and the Faculty Practice Plan) is responsible for identifying, designing, and implementing automation solutions, workflow enhancements, and new RCM initiatives that drive measurable improvements in financial performance, operational efficiency, and patient experience. The Director will collaborate closely with operational, clinical, and IT stakeholders to ensure optimization strategies align with organizational goals and industry best practices. The Director of RCM EPIC Optimization will lead strategic and operational workflow initiatives to maximize the effectiveness of Mount Sinai Health Systemu2019s EPIC electronic medical record (EMR) platform for Revenue Cycle Management. This leader will focus on automation, workflow standardization, and adoption of new EPIC capabilities to enhance operational efficiency, financial performance, and patient satisfaction. This position aligns directly with Mount Sinai Health Systemu2019s goals to reduce cost-to-collect, accelerate cash flow, decrease denials, and improve patient engagement through technology-enabled transformation. The Director will partner cross-functionally with internal RCM leaders, IT, Finance, Legal, and external partners to ensure vendor-delivered services meet or exceed contractual obligations and support enterprise revenue cycle transformation initiatives. The Director will report to the System Vice President of RCM Operations. Qualifications + Bacheloru2019s degree in business administration, Healthcare Administration, Information Systems, or related field (masteru2019s degree preferred). + EPIC certification(s) in relevant RCM modules (e.g., Resolute Professional Billing, Hospital Billing, Claims, Contract Management) strongly preferred. + Minimum 7u201310 years of progressive experience in healthcare revenue cycle management, with at least 5 years in EPIC optimization or related EMR optimization leadership roles. + Proven track record of leading automation and workflow redesign initiatives that improve RCM performance metrics. + Strong knowledge of front, middle, and back-end revenue cycle processes and best practices. + Experience with data analytics, KPI tracking, and business intelligence tools Responsibilities Strategic Leadership & Optimization 1. Develop and execute the EPIC optimization roadmap for Revenue Cycle functions, aligning with Mount Sinaiu2019s strategic objectives and regulatory requirements. 2. Lead the design, testing, and implementation of workflow improvements, automation tools, and new RCM capabilities within EPIC. 3. Champion the adoption of EPIC functionality, ensuring end-user proficiency and maximizing system capabilities for front, middle, and back-end revenue cycle operations. Automation & Innovation 1. Identify automation opportunities across registration, coding, billing, denial management, and patient collections to reduce manual work and improve accuracy. 2. Partner with IT, vendors, and internal teams to develop and deploy AI-driven and robotic process automation (RPA) solutions within EPIC and related applications. 3. Evaluate emerging EPIC features and revenue cycle technologies to recommend strategic adoption and integration. 4. Identify bottlenecks and implement rapid-cycle improvements. Operational Excellence 1. Conduct current-state workflow assessments and implement standardized best practices across all RCM functions. 2. Establish KPIs, dashboards, and analytics tools to monitor performance, identify bottlenecks, and guide continuous improvement. 3. Collaborate with revenue cycle leadership to ensure optimized processes deliver measurable improvements in cost-to-collect, clean claim rates, denial reduction, and cash acceleration. 4. Workflow Standardization: Assess and redesign current-state workflows for maximum efficiency and compliance. 5. Establish and maintain standardized processes across all revenue cycle operations. Stakeholder Collaboration 1. Act as the primary liaison between Revenue Cycle, MSHS IT (DTP), and operational leaders to ensure alignment of priorities and system changes. 2. Facilitate governance processes for EPIC change requests, prioritizing initiatives based on ROI and operational impact. 3. Provide leadership, training, and guidance to staff and managers to foster a culture of optimization and innovation. Performance Metrics for Role Success 1. Reduction in cost-to-collect. 2. Improvement in clean claim rate and first-pass resolution rate. 3. Reduction in initial and final denial rates. 4. Increased automation adoption and productivity gains. 5. Enhanced user satisfaction with EPIC RCM functionality. Essential Functions of Position 1. Maintain strong understanding of revenue cycle metrics and build processes to enhance analytical capabilities, process improvement identification, and technology enhancements. 2. Maintain strong understanding of various system functionalities and lead team in identifying and implementing improvements for performance, workflow, and cost-to-collect reduction. 3. Build effective, collaborative relationships with key stakeholders across departments. 4. Resourceful in creating or fine-tuning the processes necessary to complete the work along with the ability to organize people and activities. 5. Challenge existing norms or courses of action to facilitate fully informed decision-making. Help institute balanced decision-making by identifying risks and opportunities. 6. Establish and maintain strong working relationships with revenue cycle leaders, key stakeholders, and foster a strong working relationship with key strategic partners. 7. Provide leadership and support governance processes to result in effective, efficient, standardized, and compliant practices. 8. Create feedback loops and enhancement pipelines informed by stakeholders and data. 9. Maintain strong understanding of revenue performance metrics and payer mix. 10. Ensure compliance with all HIPAA privacy and security standards. 11. Conform to the established policies/ procedures/ processes/ Standards of Behavior. 12. Performs other duties as required by the System Vice President of RCM. About Us Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinaiu2019s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time u2014 discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patientsu2019 medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high

Created: 2025-10-04