RCS Systems Senior Analyst

SCP Health•Dallas, TX

3d•$72,738 - $107,672

About The Position

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.

Requirements

AthenaIDX Application Development (TES, BAR, Anesthesia, ETM Workflows & EDI Integration)
EDI Clearinghouse & Revenue Cycle Transactions
Interfaces & Integration (SIU / API)

Nice To Haves

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

Responsibilities

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
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
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)
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
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