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 annuallyThis 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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Skills Required
- Experience with athenaIDX application configuration and development
- Designing, building, testing, and deploying TES edits and edit groups
- Developing and implementing BAR claim edits, claim logic, and statement controls
- Designing and supporting athenaIDX ETM workflows, agents, and automation
- Configuration and support of athenaIDX Anesthesia module and time-based billing workflows
- Experience with EDI clearinghouse operations and payer integrations
- Knowledge of X12 transaction standards including 270/271, 837, and 835 (ERA)
- Managing ERA exchanges, posting workflows, and resolving claim transmission failures/rejections
- Experience supporting SIU and API interfaces for ADT feeds and charge interfaces
- Troubleshooting workflow failures, monitoring performance, and optimizing throughput
What We Do
SCP Health (SCP) is a clinical company. 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. Whether you’re a resident, nurse practitioner, physician assistant, physician, or medical director looking for a clinical career or a professional interested in opportunities at one of our corporate locations, we can find you a position that fits you professionally and personally.
