RCS Systems Senior Analyst

At SCP Health what you do matters

As part of the SCP Health team you have an opportunity to make a difference. At our core we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients 7500 providers 30 states and 400 healthcare facilities SCP Health is a leader in clinical practice management spanning the entire continuum of care including emergency medicine hospital medicine wellness telemedicine intensive care and ambulatory care.

Why you will love working here:

- Strong track record of providing excellent work/life balance.

- Comprehensive benefits package and competitive compensation.

- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration courage agility and respect.

Primary Responsibilities and Essential Functions

AthenaIDX Application Development (TES BAR Anesthesia ETM Workflows & EDI Integration)

• Design build test and deploy TES edits edit groups and workfiles
• Assign and validate TES edits across test and production environments
• Develop and implement BAR claim edits claim logic and statement controls
• Ensure accuracy compliance and efficiency of revenue cycle billing logic

ETM Workflow & Automation

• Design develop and support athenaIDX ETM workflows and automation including:
  • Creation and maintenance of ETM Agents and workflow triggers
  • Automation of task routing work queues and exception handling
  • Monitoring and optimization of workflow performance and throughput
  • Troubleshooting ETM process failures and ensuring operational continuity

Anesthesia Application Support

• Support athenaIDX Anesthesia module configuration and workflows including:
  • Charge capture and time-based billing
  • Documentation alignment and regulatory compliance requirements
• Develop and maintain Anesthesia-specific TES edits and BAR logic
  • (e.g. modifiers unit calculations concurrency rules)

EDI Clearinghouse & Revenue Cycle Transactions

• Support EDI clearinghouse operations and integrations including:
  • Eligibility (270/271) Claim submissions (837) and Remittance processing (835 ERA)
• Manage and troubleshoot ERA (835) exchanges and posting workflows
• Monitor and resolve claim transmission failures rejections and remit discrepancies
• Support setup testing and maintenance of payer connections and EDI trading partners
• Ensure compliance with X12 standards and payer-specific requirements
• Coordinate with clearinghouses and vendors to resolve file processing and transmission issues

Interfaces & Integration (SIU / API)

• Support SIU and API interfaces for:
  • ADT feeds (patient demographics)
  • Charge interfaces and upstream clinical system integrations with athenaIDX
• Ensure data accuracy and integrity across end-to-end revenue cycle workflows

Why this version works

• Elevates EDI/Clearinghouse ownership to a core competency (very market-relevant)
• Clearly separates EDI vs API vs ETM vs Application logic (clean architecture view)
• Reinforces your teams role in end-to-end revenue cycle transaction integrity
• Keeps it tight scannable and executive/HR ready

Pay Range:

This range represents the anticipated base salary for this role. Actual compensation will be determined based on experience qualifications and internal equity considerations.

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We offer a comprehensive benefits package designed to support your health financial well-being and work-life balance including medical dental vision insurance a 401(k) plan with a company match paid time off and holidays professional development support and employee wellness resources.

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