EDITECH Expanse Revenue Cycle Redesign Analyst

Quoris

• $80K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 4+ years of MEDITECH Expanse Revenue Cycle (BAR/ABS) build experience on M-AT.
  • Experience with Medicare provider-based RHC billing for hospitals under 50 beds, including All-Inclusive Rate.
  • Knowledge of split billing and provider-based clinic billing.
  • Experience in denial root-cause analysis using remittance data.
  • Hands-on experience at Critical Access Hospitals, Rural Health Clinics, FQHCs, or community hospitals under 100 beds.
  • Ability to travel onsite for go-lives as required.

Responsibilities

  • Audit RHC All-Inclusive Rate billing and split billing for accuracy.
  • Trace charge flow for Lab, Radiology, and Pharmacy charges from NPR applications.
  • Confirm billing compliance for both clinic areas under a single RHC certification.
  • Collaborate with internal revenue cycle teams to rebuild billing configuration and implement denial-prevention edits.
  • Validate accuracy of post-go-live remittances through program completion.

Benefits

  • Health insurance
  • Dental insurance
  • Vision insurance
  • 401k retirement plan
  • Positive company culture and working environment
Full Job Description
Job Description
MEDITECH Expanse Revenue Cycle Redesign Analyst

  • Start Date: ASAP
  • Duration: Contract (Through April 2027)
  • Daily Working Hours: Full-Time
  • Travel: Hybrid - Onsite travel required for go-lives
  • Work authorization: Must be eligible to work in the U.S. without company sponsorship
  • No Third Parties Please


Project Scope

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.

Position Summary

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.

Key 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.

Qualifications

  • 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.

Preferred Qualifications

  • Wisconsin Medicaid (ForwardHealth) RHC billing experience.
  • Ancillary charge master review experience.

Ideal Candidate Profile

  • 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.


When working with Quoris as a consultant, you are eligible for competitive benefits including Health, Dental, Vision, 401k, and a great culture/working environment.

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