RCS Systems Senior Analyst

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

Do you have experience in X12 EDI?

Pulled from the full job description

• Health insurance
• 401(k) matching
• Paid time off
• Vision insurance
• Dental insurance
• Paid holidays

Full job description

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., This 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.