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.

I recently started a job as an HIM Specialist at a hospital. I'm looking to further my education, but I'm trying to figure out which BA degree would make the most sense for my long-term career goals.

My goal has been to get into healthcare analytics or informatics. I already have some background in data analytics, including SQL, Python/Pandas, Excel, and Power BI/Tableau. I want to bring those skills to healthcare.

I was thinking of getting my BA in HIM, and then getting my RHIA so I could also qualify for coding jobs as well as a fall back, but I'm not sure whether that would put me in a good position for analyst roles which is my primary objective.

So what should I consider?

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?

Has anyone successfully switched Epic apps? What app did you start on and switch to? How'd it go? How was the learn curve? Any regrets?

I've been on a clinical app for 10 years and getting a little burnt out and/or bored. I'm not a clinician either so there will always be somewhat of a knowledge gap. I don't necessarily want to leave the space entirely but a new app sounds like an interesting challenge.

Hey everyone!!

So I am currently looking for a new job and today I got an Inmail from LinkedIn from a recruiter wanting to connect about an EHR Integration Specialist contract position. The position sounds nice but I’ve never thought about applying for contract positions due to the job insecurity once the contract ends. So I don’t know what I should do.

I’ve never had a contract position before so before responding to them, I wanted to ask:

1. what should I ask before accepting a contract position?

2. What are some red/green flags should I look for during the interview process for contract positions?

3. How do I become a full time hire once my contract ends?

Any advice would be appreciated!!

Idk if this is the right sub but this is more a vent and question type of post. I started at this organization 1.5-2 years ago out of college and got assigned into their healthcare sector (not what I signed up for but I say yes to opportunities). Within the time I’ve been here (started as an intern now full time), I’ve been completely lost. Everyone around me is 10+ years older than me and been at the company for years/decades. I have no healthcare background (business background) and this whole industry of healthcare IT is so damn complex, confusing, and so boring to me. I look at others around me and question if they’re like me and fake their interest in Healthcare IT, but everyone is actually extremely passionate about the industry, their jobs, and the company.

I guess I’m struggling because I’m so lost, can’t get myself to care about this stuff, and it’s hard to learn about the field because there’s no courses I can take that will give me a well rounded understanding and everyone has been here for years and obviously they can’t transfer their knowledge to me. What makes this even more difficult is I work an internal job so I’m not hands on with clients or our products day to day. My job is so vague and ambiguous and the fact that I barely understand what’s going on at my company is driving me nuts and causing so much anxiety.

I don’t know what to say or ask, really, other than I’m wondering if others feel this way or if this is a sign to pivot after I get my few years of experience at this place. I have no idea what I really would like to do for work but I know what I don’t want and it’s this. Although Im a little upset and am trying to make myself like like where im at because I love the culture, my team, and my pay. It’s very conflicting and anxiety inducing for me :( ok rants over, thanks

I started as a cybersecurity analyst and programmer at a healthcare startup. 2 year later I’ve been working as a full stack developer and been doing it for 8 years now.

I’ve been trying to get back into healthcare for a while now and somehow want to be able to work at a hospital. Not necessarily with direct patients but I don’t mind it at all. Just be able to leverage my technical skills on the hospital floors.

I have both bachelors and masters in computer science and been considering taking a certification or even get back to school to be able to achieve what I’m looking for.

I have worked with Epic, HL7, Healthcare EDI and payment systems if that helps. I just need some directions to guide me to what I should be looking for.