RCS Systems Senior Analyst

AthenaIDX Application Development (TES, BAR, Anesthesia, ETM Workflows & EDI Integration) Primary Responsibilities and Essential Functions AthenaIDX Application Development 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. Automate task routing, work queues, and exception handling. Monitor and optimize workflow performance and throughput. Troubleshoot ETM process failures and ensure operational continuity. Anesthesia Application Support Support athenaIDX Anesthesia module configuration and workflows, including charge capture and time‑based billing. Align documentation with 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 (eligibility 270/271, claim submissions 837, remittance processing 835 ERA). Manage and troubleshoot ERA (835) exchanges and posting workflows. Monitor and resolve claim transmission failures, rejections, and remittance 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) and charge interfaces. Integrate with upstream clinical systems with athenaIDX. Ensure data accuracy and integrity across end‑to‑end revenue cycle workflows. Compensation Pay Range: 72,738.00 – 107,672.00 USD annually. This range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations. Benefits Comprehensive benefits package supporting health, financial well‑being, and work‑life balance. Medical, dental, and vision insurance. 401(k) plan with company match. Paid time off and holidays. Professional development support. Employee wellness resources. Equal Employment Opportunity Statement: We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, or protected veteran status. #J-18808-Ljbffr TSG Resources, Inc.