Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range:

Scheduled Weekly Hours:

Position Overview

Hybrid after 90-day Probation Period

Schedule: 8am-4:30pm or 8:30am-5pm

Candidates must live within a 45-minute to an hour radius within distance of our Franklin Corner Road location.

The position requires technical and programming expertise with IBM I-Series/AS400, to support and enhance billing and integration operations. Responsible for owning, managing, and optimizing the professional billing functionality within Capital Health's electronic medical record (EMR) system. This role serves as a liaison between clinical, revenue cycle, IT, and operational teams to ensure accurate billing, compliance, and workflow efficiency.

MINIMUM REQUIREMENTS

Education:

Bachelor's degree in healthcare administration, business, information systems, or related field (or equivalent experience).

Experience:

Working with IBM i-Series/AS400 providing technical and application support.

Three years of experience in healthcare revenue cycle, billing, or EMR system support. Hands-on experience with EMR professional billing modules (Epic PB, Cerner, Athena, Allscripts, etc.).

Other Credentials:

Knowledge and Skills:

Strong analytical, problem-solving, and documentation skills. Ability to translate business requirements into technical solutions. Experience with SQL, report writing tools, and data extracts. Knowledge of RPG, RPGILE, CLP, SDA, SQL, and EDI. Familiarity with OpenText EDI and Rocket Software GUI for screen design. Excellent communication and stakeholder management skills.

Special Training:

Experience with healthcare billing compliance requirements (CMS, HIPAA, payer rules). Preferred

Usual Work Day:

8 Hours  

ESSENTIAL FUNCTIONS:

• Utilize RPG, RPGILE, CLP, SDA, SQL, and EDI for billing and reporting.
• Serve as the subject matter expert (SME) for professional billing modules within the EMR.
• Analyze, configure, and maintain billing workflows, charge capture, claim generation, and posting processes.
• Collaborate with clinicians, coding teams, and revenue cycle staff to ensure accurate charge entry and reconciliation.
• Partner with IT and EMR vendors to manage upgrades, enhancements, and system fixes related to billing.
• Conduct requirements gathering, process mapping, and gap analysis for billing workflows.
• Document functional specifications for system enhancements and lead testing/validation.
• Provide end-user training, support, and job aids for billing system users.
• Troubleshoot billing-related issues, escalate to vendors when required, and ensure timely resolution.
• Support audits, compliance reviews, and remediation for billing discrepancies.
• Provide reporting and analytics on billing performance, denials, and revenue cycle KPIs.
• Support programming and technical functions including database operations, report writing, and screen design.
• Manage system integrations using OpenText EDI and Rocket Software GUI design.
• Perform other duties as assigned.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include:

Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities

Continuous physical demands include: Sitting , Keyboard use/repetitive motion

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Accurate Hearing

Anticipated Occupational Exposure Risks Include the following: Uneven Surfaces or Elevations

IND123

This position is eligible for the following benefits:

• Medical Plan

• Prescription drug coverage & In-House Employee Pharmacy

• Dental Plan

• Vision Plan

• Flexible Spending Account (FSA)

- Healthcare FSA

- Dependent Care FSA

• Retirement Savings and Investment Plan

• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance

• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance

• Disability Benefits – Long Term Disability (LTD)

• Disability Benefits – Short Term Disability (STD)

• Employee Assistance Program

• Commuter Transit

• Commuter Parking

• Supplemental Life Insurance

- Voluntary Life Spouse

- Voluntary Life Employee

- Voluntary Life Child

• Voluntary Legal Services

• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance

• Voluntary Identity Theft Insurance

• Voluntary Pet Insurance

• Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. 

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.