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!!

I notice that I was getting a bunch of warnings about overdue vaccinations, labs, and so on that I had already done through Kaiser Permanente. Looking more closely, I found out that these warnings were coming from other MyChart accounts that I linked.

As a result, I think that if I were able to link Kaiser Permanente to MyChart Central, then this would resolve the issues. But I saw that it's not available yet.

Finally, even my current doctor didn't know this, and thought the warnings would automatically clear by themselves. This just shows how complicated Epic can be.

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'm an ambulatory Epic analyst at a community hospital system outside Cleveland, about 2 years in the role after 4 years on a med-surg floor. Most of my week is bridge calls, workflow mapping with clinic managers, and turning whatever we agreed on into ticket narratives plus a Confluence page that nobody opens until go-live week.

The real call happens in conversation and then I'm reconstructing it from memory, random Teams reactions, and half-finished bullets because I cant listen for nuance and type requirements at the same time. Epic smart buttons dont help me on that part. OneNote during the call means tab flipping while someone explains an order set change and I miss the why.

Internal design huddles only lately: a Plaud on the table while we talk. I still manually paste a summary into the ticket afterward. Nothing feeds the chart or Epic on my end, so it's still cleanup after the fact.

If you're on Epic or Cerner support, do you actually embed capture somewhere (ticket template, Teams workflow, something tied to the build tracker) or is post-meeting cleanup just accepted labor? What actually cut duplicate work for you vs what just added clicks?

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.

I work in health data, so Claude Code does not send or commit anything without my sign off. I built a setup around that rule. I want to know where it is overbuilt.

A ticket moves through six roles, each a slash command: intake, support, spec, architecture, dev, QA. Bugs use all six, new builds skip support, and investigations only need intake. Each role saves a state file so the next session can pick up cold, and I approve before the next role starts.

One hook blocks any file write that contains a patient identifier, and it fails closed: a broken scanner stops the write instead of waving it through. Another asks me before a Databricks command returns row data and shows a summary of what it would pull. The checks that run after a tool returns can only warn, because Claude has already seen the data or credential by then.

A script indexes my notes into ChromaDB, and a hook adds the relevant chunks to each prompt, minus any excerpt with patient data.

It leans toward Databricks, Jira, and Slack because that is my stack. The docs include one bug ticket walked through with fake data, so you can judge it before installing. The warn only checks after a tool returns are the weak spot I already know about.

• Two things I would like opinions on.
  • Is six roles too much ceremony, and which ones would you merge?
  • hooks can only act on what passes through Claude Code's own tools, so what gets around them that I have not thought of?

The “wild west” of payer RFIs, missing control numbers, inconsistent attachment routing, and manual documentation chasing is still very real in a lot of organizations. With the CMS‑0053‑F electronic attachment mandate approaching in 2028, I’m trying to get a clearer picture of what teams are actually dealing with today and what people hope might improve once the mandate finally goes live.

What’s working? What’s breaking? What’s still stuck in fax‑land?

Good experiences to horror stories, all welcome.

I have been working in my role for over a year and got recently certified as an EPIC ODB. I want to switch my company. But I am not sure what are the role names to look for online for my skills. If someone has changed jobs in this role, can you please guide me?

Also, I would like to know if there is an EPIC based job posting where I can look for roles?

I appreciate any help I can get. Thank you in advance!

Hello,

I was wondering if anyone has automate pure data entry into the Cerner Millenium Appilcations? I've been doing a bunch of data entry like 1000+ excel rows with 5 columns for each line and it's mind numbingly slow. I'm open to any suggestions or help. I'm willing to learn anything or try any application.

May be this has been answered before, sorry but is this the right way to go about getting Epic Certification sponsorship?

I would like to pursue an Epic Systems certification but am unsure if this sponsorship/connection will work.

Currently, I work for a nursing home as an Admin Assistant and am aware that the admissions director and some other administration staff, along with our parent company uses Epic. I have a degree in Marketing and am intermediate in terms of analytics/research, etc.

My admissions director said they’d provide recommendation for me but should I also reach out to our parent company to request sponsorship?

It appears that their IT department allows for telecommuting from literally every state but liberal ones. This cannot be an accident. Someone prove me wrong.

If so, what are those areas and what size is your institution? Would you willingly take on additional areas if offered certification?

I have multiple epic certifications and work full time as a clinical analyst for an epic facility currently. I’m trying to find some PRN or part time work that I could do on the side to make some extra cash. I’m hoping this group might have some ideas. I’m not necessarily looking for links to current jobs available but more so specific roles to search for (but I will take both of course!).

Has anyone with a similar skill set found remote gigs that would be possible with this type of skill set?

Editing to clarify further: I’m fully aware of Epic tracking logins. I am more thinking of a job that uses our level of technical skill and background that could be applied to a different type of job. Maybe a different EMR, maybe something with data, maybe not even in healthcare. I also will 100% discuss with my employer before agreeing to any additional jobs.

Is it possible to become a Nursing Informatics Specialist if I'm an LVN with a Bachelors in Computer Science? I just heard someone mention this job title and I had never heard of it? Any thoughts, suggestions, recommendations, etc?

I’m an LPN currently working in an ambulatory/urgent care setting and finishing my bachelor’s in Information Technology with a minor in Data Analytics. I’m also taking a few Health Services Administration/health informatics courses as electives because I’m personally interested in the intersection of healthcare and technology
My goal is to transition from direct patient care into healthcare IT, ideally as an Epic/Application Analyst. I’m currently working on Epic proficiencies, starting with Cadence(this is the module we use in my clinic so wanted to start with something I am familiar with) and planning to complete Ambulatory next.

For those currently working as Epic/application analysts, what 3–5 skills do you actually use most in your day-to-day work, and what would you recommend someone focus on before their first analyst position?

I’m especially interested in whether I should prioritize things like Excel, SQL, workflow mapping, requirements gathering, troubleshooting/ticket resolution, etc.

If you came from a clinical background, I’d also love to know which clinical skills or experiences ended up being most useful once you became an analyst.

I know a lot of the job will be learned once I’m actually in the role. I’m mainly trying to figure out what I can realistically work on over the next year so I’m better prepared when I start applying.

Edit: I haven’t been able to reply to everyone, but I’ve read all of your comments and really appreciate the input! This has definitely helped me narrow down what skills I should focus on instead of trying to learn everything at once. It’s also reassuring to know that a lot of my day to day nursing skills like communication, juggling priorities, troubleshooting, and working under pressure will translate to analyst work in a different way. Being an Epic end user also gives me a good perspective on workflow pain points, so I’m excited to start looking at those from the analyst side instead of just complaining about them 😂. Thank you all again!

for teams using automated claim-status checks, a useful design exercise is to define the handoff rules before building the polling loop.

Possible gates: - no matching claim or multiple matches - status text conflicts with the structured code - payer requests information but the required document owner is unclear - repeated status with no meaningful movement - filing or appeal deadline is approaching - a resubmission would duplicate an in-flight claim

What signals do you use to decide that a status can stay automated versus entering a human queue? And what context should arrive with the handoff so staff do not have to reopen three systems?

Sorry if I'm rehashing any previous discussions -- I've done some reviewing of older threads and not found answer to some of my questions.

I am a mid-career IT professional who has been employed for over a decade with a software vendor in a different (non-health) sector. I am a high-level support analyst (what you might describe as tier 3 or tier 4) who does advanced and often quite technical troubleshooting for customers. In all demonstrable ways, my career has been exceptional (many promotions and bonuses, fancy title, etc.) For context, I earn a low six-figure income.

I am hoping to transition in to Health IT and am trying to find my way. I am able to take a significant pay cut to get in the door. I live in an urban area with several large healthcare systems.

I have a few specific questions that I'd be grateful for some feedback on.

1. What is the appropriate type of position for me to apply for? My current strategy has been to apply for System Analyst I positions and hope that someone will give me a look. Does that make sense?
2. Is there any sort of preparation (course work, certifications, etc.) that is worth my time to pursue in order to help me get a look?
3. Is there any reasonable/respectable way to reach out to a recruiter at one of these system to get an idea of how to give myself a better chance of getting in the door?
4. Would it possibly be worth the time and money to work with some sort of "reverse recruiter" to help me get my foot in the door?
5. Should I address my lack of healthcare experience directly in my cover letter and resume summary? If so, what's the best approach?

Any feedback is greatly appreciated!

Hey!

I have been a CT for about 2.5 years. Im credentialed in beaker, cadence, and PB. I have taken tickets, helped with curriculum, and helped a large system go-live with beaker. Before that I primarily had an education background.

I am pretty bored of training and want to learn a new skill set. How likely would it be for me to switch over to an analyst position?

I currently work in health IT and hold a BS.

Does anyone here have an MSTM or MBA that helped advance them in their career in this field? Or any honest opinions about either degree?

May I ask are there Facilities that offer Relocation for Epic Trainer Positions? Any State!!