IT Business Analyst

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 than600 physicians and other providerswho 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 compensationfor afull-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range:

$86,964.80 - $113,672.00

Scheduled Weekly Hours:

40

Position Overview

Hybrid after 90-day Probation Period

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, elevate 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 , C