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 #LI-PM1 Pay Range: 72,738.00 - 107,672.00 USD annuallyThis range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations. - 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/ Login name: corp-guest Password: weheal Apply To This Job