RCM Systems Analyst

Recovery Centers of America

3d

About The Position

The RCM Systems Analyst plays a key technical and analytical role within Revenue
Cycle Operations, responsible for ensuring that RCA's electronic health record
(EHR) billing configuration, charge capture, and data integrations function
accurately and efficiently. This position combines revenue-cycle knowledge with
strong technical proficiency to maintain system integrity, streamline
automation, and support data-driven decision-making.
The ideal candidate is detail-oriented, systems-focused, and capable of bridging
the gap between IT, billing, and operations. They will analyze complex data
sets, troubleshoot EHR workflows, and optimize interfaces that support clean
claim submission and timely reimbursement.

Requirements

• Bachelor's degree in Computer Science, Business, Healthcare Administration, or related field, or 5+ years of equivalent experience
• Proven experience in healthcare revenue cycle system administration, EHR configuration, or technical billing support
• Proficiency with Excel (pivot tables, v-lookups, data analysis) and ability to write or interpret SQL queries
• Understanding of ANSI X12 standards and file structure for EDI transactions (837, 835, 277, 270/271)
• Strong analytical and problem-solving skills with attention to data accuracy and process integrity
• Experience with ticketing or issue-tracking systems (e.g., ServiceNow, Jira, ManageEngine)
• Excellent verbal and written communication skills for translating technical findings into business language

Nice To Haves

• Experience supporting EHR systems such as Netsmart, Cerner, Epic, or similar platforms
• Background in behavioral health or addiction treatment billing environments
• Familiarity with API integrations, data imports/exports, and automation tools
• Understanding of HIPAA, CMS, and managed-care billing and compliance standards

Responsibilities

• Configure, maintain, and validate EHR billing system settings, including service codes, fee schedules, payers, and charge mapping
• Administer and audit the Charge Description Master (CDM) to ensure full compliance with federal, state, and payer guidelines
• Manage and validate EDI transactions (837, 835, 277, 270/271) to ensure accurate claim creation, transmission, and remittance posting
• Develop and run SQL or database queries to extract data for troubleshooting, reconciliation, and performance analytics
• Support integration between the EHR and external systems such as clearinghouses, accounting platforms, and payer portals
• Participate in EHR system upgrades, patches, and testing, with a focus on billing logic, data integrity, and automation validation
• Collaborate with IT and Revenue Cycle leadership to design and implement new system enhancements that improve efficiency and compliance
• Analyze root causes of billing or posting errors using system logs, interface data, and transaction reports; document and escalate findings as appropriate
• Support month-end close by validating system batches, reconciling billing data, and ensuring transactional accuracy
• Maintain detailed documentation of EHR build decisions, configurations, and workflow standards
• Manage tickets and service requests within established SLA timelines, tracking resolution and identifying recurring system issues
• Participate in process-improvement projects focused on automation, data integrity, and system integration
• Assist with internal and external audits, providing technical data extracts, reports, and traceability documentation

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level