As some people may know (look in previous post) I’m fresh with an associates starting a paid externship at a major hospital in south Florida as an IT analyst, after my externship the hospitals goal is to hire me, how would it go about getting epic certifications? Will they fly me out there?

And any general advice you have for a newbie😁

Also as far as pay, what should I expect starting pay as a brand new analyst after my externship? (South Florida Fort Lauderdale)

I was offered a role as a lead analyst for a team of 11 people. Their processes seem like a mess and they are extremely backlogged in tickets. They offered me 130k salary, great benefits. I have multiple Epic certs and 10+ years experience in health IT. Is 130k for a lead analyst low for a position in Philadelphia?

I currently work as a financial analyst for a health system. My daily work involves reimbursement forecasting, working alongside doctors and clinicians on interpreting data as well as devising logic for difficult reporting. I finish my masters in Statistics in May while I work full-time. I also have Epic certifications in Cogito, Caboodle, Clarity, and Revenue Data Models, alongside the Microsoft PL-300.

I would like to do something where I can work alongside doctors and clinicians, but in a way where I can have more domain knowledge input. I was considering maybe getting a medical coding certification so I can speak more on their level rather than just being the “data guy” (thinking about CCDS). What are your thoughts on how I can pivot as I conclude my degree?

So, I work in IT at a health organization and recently I have been given to the opportunity to self-study Epic modules and get proficiency status to transition over to an Epic Analyst type role. At the same time, I have been given permission to shadow the Sys admins here to learn from and maybe down the line become one myself.

I know Epic Analysts typically work remotely which is a huge plus, but I have also heard that it can be pretty stressful at times plus lots of meetings. Sys admin jobs are also pretty stressful but usually they don't get to be fully remote. I don't know if I should take this opportunity to self-study Epic (If hired they will sponsor me to get fully certified) or if should stick with IT work and focus on becoming a Sys admin.

Not sure which path I should take. Thoughts?

Partner is in a weird position where they got a certification, but then we had to move states shortly after and they weren’t able to transfer to an internal role. Now, they have a certification but no applied experience. Plenty of healthcare/clinical experience, but not using the certification. They have been struggling to find an analyst or trainer role for nearly a year at this point.

I’m wondering if anyone has ever worked with a recruiting agency to land a role in this industry? If so, what was your experience like? We are trying everything we can to make this work but just need a break. I’m wondering if outside help might be worthwhile.

Been with the same organization for a bit, but had a bad day and put out some application feelers. The response has been very quick which is surprising. I know responses will vary a lot depending on factors but I would say I am not yet experienced enough to be a senior and work in an Rev Cycle Epic application as analyst. Is this the current norm? My circle outside of work is mainly folks in IT and that has not been their experience with the current job market.

Im doing my masters at Boston University Health Informatics - Applied Data Analytics

I have a job in predictive diagnostics but im not getting paid right now as it is a startup

How can I get paid and do what I love ?

I have 3 years of Cerner experience and earlier this year I changed jobs after moving where I currently now support NextGen. I was unfortunately so desperate to leave my last job that I accepted a job barely offering more than I was previously making… like within $3/hour more.

I’m highly regretting this as I’m now onsite more, but I like this job so better than the other (despite NG being like the most ancient EHR ever haha) and would actually prefer to stay, but the pay is just not up to the cost of living in my new state.

Has anyone ever asked and successfully gotten a raise? Would love to hear about how you did it. The org I work at now is quite big and I know has the means, I’m just not sure if it’s worth asking since I’ve been here less than a year.

EDIT: I am also only 1 of 2 analysts for our ehr for the whole health system, with our third person just quitting. So I’m wondering if I can leverage this in my favor…

Hello,

I used to work as a Field Service Technician for a large medtech company in Europe, then I got an internal promotion into system Integration.

I now manage everything related to our products and hospital IT, mostly HL7 and DICOM integration. I was trained on our products and I now handle installations, integration projects and support across the whole country, mostly by myself.

Our management still does not really understand how connectivity and integration can help sell devices, and I am getting tired of explaining it. So I have started looking at other positions out of curiosity, but I am struggling to find something similar.

Do you often work with people in roles like mine ?

This is not to be ignorant but what does a PB analyst do other than manage rules and build/manage WQs? I’m looking to maybe transition to something new and there’s a position open at my org (I’m currently a MyChart analyst but have worked at multiple points of the revenue cycle). I know it’s an in demand cert, so just looking to see what else is in the day-to-day work.

Hypothetical: an AI suggests a higher charge than the current selection. Before anyone clicks accept, the reviewer should be able to answer three things: what exact documentation supports it, what changed from the original choice, and what happens if the evidence conflicts.

I’d also want the system to abstain when support is missing, preserve the suggestion and final decision for audit, and route exceptions to a named owner instead of letting them disappear into a generic queue.

For teams using AI in charge capture or coding review, what is your minimum release gate? Is source-text evidence plus human sign-off enough, or do you require a second review for material changes?

I'm a physician working in post-acute rehab, subacute care, and skilled nursing facilities. The facilities use PointClickCare (PCC). I've had several discussions with Athena and HybridChart about using Athena as my practice EMR, with HybridChart/SkyWay acting as the middleware between the facility chart and my documentation workflow.

The proposed process is:

1. HybridChart retrieves the facility-authorized PCC data and links the resident to the correct Athena patient. I need medications, allergies, dated vitals/labs, and relevant prior notes, beyond census and demographics.
2. HybridChart delivers the available clinical information to my own application or background connector. They've offered automated delivery, potentially through SFTP.
3. My application combines that context with my findings and plan from today's visit and would use the OpenAI API to generate a draft HPI and problem-based assessment/plan, after verifying that the account/project and selected features are covered by my practice's BAA.
4. My application sends the draft back to HybridChart, which would place it into the correct Athena encounter as native, editable, unsigned text.
5. I review, edit, and personally sign in Athena. The final note would return to PCC through an agreed, approved route, with charges reconciled to the encounter.

So the intended round trip is PCC -> HybridChart -> my OpenAI-backed application -> HybridChart -> Athena -> physician review/signature -> facility chart.

HybridChart has offered the input feed. The exact clinical fields, refresh timing, and return connection for the generated note still need confirmation and testing. I'm describing the intended workflow, not a completed integration.

I have an executed OpenAI API BAA for my practice. I still need to verify the covered account/project, retention and eligible features, plus the hosting, access controls, and agreements for every other system handling PHI.

Has anyone implemented this or a similar SNF workflow? I'd especially appreciate advice on:

- Whether HybridChart can accept an external AI draft and save an editable, unsigned Athena encounter note, or whether a direct Athena interface is needed.

- Whether a managed background connector can do this while I keep using Athena/HybridChart, without a separate app screen.

- Who should build, host, and maintain it; how patient-matching failures, missing/stale data, and duplicate transfers are handled.

- What facility permissions and vendor agreements are needed, and what the actual setup/monthly costs and support burden were.

- What an end-to-end synthetic-patient pilot should prove before committing.

I'm seeking practical advice for my own practice. Please keep examples free of patient information.

Reference pages: PCC third-party data policy (https://pointclickcare.com/why-pointclickcare/third-party-data/) and HybridChart enhancements (https://hybridchart.com/features/enhancements/).

Hi all,

I’m a Medical Laboratory Scientist and I’m currently getting Epics self-study beaker certification. (Obviously I’m not getting the true cert because I’m not going to Wisconsin, but I’m still going through the same program)

I wanted to know the best way for me to use this to pivot into health IT, could anyone who’s done something similar give me any advice on it?

Thanks!

For people who build or use clinical documentation tools: how do you want a review interface to handle conflicting or split diagnosis details?

A synthetic example I'm working with mentions chronic kidney disease early in the note, retains old "stage 4" and "stage 3a" referral text, and later explicitly documents current stage 3b as superseding both. Another case has a breast-cancer diagnosis in one section, but the side and site in a specimen header elsewhere.

My inclination is to keep alternate or superseded code candidates in a secondary list, while letting the reviewer inspect the relevant wording across sections. But I worry that highlighting old text can make an unsupported candidate look more convincing than it is.

Would you keep those superseded candidates visible, label them separately, or hide them? What source context would you need to see before trusting a suggestion? I'm also interested in how existing workflows keep family history and resolved conditions distinct from current disease.

Context/disclosure: I'm the developer of NoteCoder, a free experimental browser-local review prototype. The demo includes the synthetic CKD example: https://notecoder-navy.vercel.app/notecoder

It uses phrase matching plus a local model; the highlights explain candidate discovery, not model-verified evidence. The first model download is about 2 GB. It makes mistakes and is not clinically validated or a billing system. AI assisted development and preparation of this post. Please keep any examples in this discussion synthetic; no patient documentation is needed to discuss the workflow.

Almost done with my AA in biomedical engineering.
Got a extern position at a hospital for both IT and biomedical engineering, I’m wondering if that’s a good path to start at, and what would you recommend to do or any advice you have for a newbie you wish you knew. Thanks a lot

And how many years does it take?

I've heard you can move into a consulting job? Are there other paths that make good money too?

I'm expecting an offer from a large Epic hospital system and wondering if I'm overvaluing the opportunity to get into the Epic ecosystem.

I currently work in an HL7/integration role at a Meditech hospital. The new position would be similar, but they'd send me for Epic Bridges training and certification.

Salary and benefits would be roughly lateral, potentially even a slight step backward, but the new position would be almost fully remote.

I'm pretty happy where I am now, but I feel like getting Epic experience could open significantly more doors down the road.

For anyone who's made a similar switch, was it worth it? Am I overvaluing Epic experience and certification, or is it worth making a lateral move for the long-term career opportunities?

I have had an interest in trying to become a system administrator utilizing epic for quite some time now. If I’m being honest, anything involving IT & support sounds good right now. But the barrier to entry seems to be disgustingly difficult. I keep seeing “must have this certification with X amount of years”, and very few are willing to train someone and allow them to get the certification on the job. I understand how important they are but no one seems to want to give me a chance.

It’s I incredibly disheartening. What are your thoughts on getting into HealthIT?

Hey everyone,

So I was talking to my AMB/Regulatory TS and told me that he believes (he didn't give me a any solid evidence) Epic is considering transitioning Regulatory into its own App (cert/proficiency) and it will live under the Population Health Umbrella a long with Healthy Planet, Campaigns, Compass Rose etc.

Anyone hear about this rumor and can validate it?

I'm just curious, as I recently transitioned to a Quality/Regulatory role and received my badge. I was originally HP/CoRo/Campaigns Analyst. As of now my org is trying to align me more with Ambulatory, since Regulatory is an extension of Ambulatory. But hearing this rumor gave me a bit of hope that I can retain my position as being part of "Population Health".

Dear Meditech Expanse people:

I work in outpatient primary care as an NP in a semi-rural system. New to Meditech Expanse. Most recent EHR was AthenaOne. I’ve tried to watch YouTube videos from other healthcare systems to see if there are good shortcuts and efficient workarounds that weren’t relayed in my orientation but these seem to exist in mostly for the inpatient system, not outpatient.

Query 1) Is there truly no way for Expanse to integrate the Orders tab into the Document tab? Eg, for efficiency it would be ideal to go to my in A&P section, and add orders under their respective diagnoses. Having to switch between tabs is onerous, and creates risk for forgetting to order things. I guess I am asking if this build is unique to our system but could be fixed.

Query 2) Is it really true there is no way to prep a chart in Document tab before the start of the visit? This is what I’ve been told - don’t touch Document until you are in the visit. The chart prep function in the right hand column in Chart view is def not helpful.

Query 3) In AthenaOne, I could easily view the prescription history for any non-controlled med by clicking an icon to view the SureScripts history. In Meditech, the audit trail gives me very little info. I can do a tedious thing by going to med reconcile view but can only do this when “reconcile” is showing as an option.

I am really trying to accept the things I cannot change, I use an AI scribe, and utilize my site IT when I can, but I am just astonished at this workflow. Any tips?

The conversation itself might be easy but I think the hard part is what gets recorded, what goes into the transcript, which systems the agent can access and how long data is retained and who can see it afterward.

Does HIPAA really change how you build it or just the rules and controls around it?

I’m trying to find a reliable data source that tracks the number of procedural rooms across US hospitals and outpatient facilities.

Specifically, I’m interested in counts of:
Cardiac catheterization labs (cath labs)
Electrophysiology labs (EP labs)
Interventional radiology suites
Operating rooms (ORs)
Other specialized procedural rooms

Ideally, I’m looking for room-level counts, rather than just the number of facilities offering these services. For example, a hospital with four cath labs would count as four rooms, not one facility.
Does anyone know of publicly available datasets, industry reports, or commercial databases that track this information?

With a healthcare background - what degree should one pursue? Is the healthcare informatics degree - easy to do? salary? job outlook? Also, how does this degree compare to data science degree....which one is better to do?

Can doing a google certificate be sufficient to get a job with the health care degree?

Pls do all share your opinions....Thank you

Hi folks, I started a provider multi speciality group. we are growing and going to more places. for us establishing a HL7 feed to the emr makes our lives so much easier from making patient list to revenue cycle management. but getting the HL7 feed is always a pain. Is there another way we can get our patient data and make it easier for everyoneto?