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 team’s role in end-to-end revenue cycle transaction integrity
• Keeps it tight, scannable, and executive/HR ready

Pay Range:

72,738.00 - 107,672.00 USD annually

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.

Visit our website for further information. https://myscpbenefits.com/

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