r/healthIT

working in health it, i assumed most credentialing processes would already be digitized by now. but healthcare credentialing is still surprisingly fragmented. different systems, different formats, and a lot of manual follow-ups between hr, compliance, and medical boards.

we recently onboarded a group of providers and the delays came mostly from verifying the same information across multiple systems.

Seems like it is nearly impossible to get into a range this high unless you are in management or a senior SWE at a health tech startup or are basically a consultant.

Curious to hear what the higher earners on here do.

Last year I made 180K as a remote IC but looking to improve on that.

I’m currently doing an MS in Health Informatics and I wanted some honest advice from people already in the field.

I actually do think the program is good and there’s a lot of useful stuff to learn, but one thing that’s been stressing me out is that I’ve never worked in a clinical setting before. My background is mostly just tech experience. No nursing, medical assistant, hospital admin, etc.

To be honest, I kind of rushed into this degree because I wasn’t finding a job after undergrad, and a lot of people I graduated with ended up going into this program too since it connects pretty directly with our undergrad degree. At the time it felt like the safest move, but now I’m starting to wonder how hard it is to actually break into the field without healthcare experience already.

For people working in health informatics, how realistic is it to get a job with no clinical background? Are there certain areas that care more about tech skills than clinical experience?

Just looking for real advice because I’m starting to overthink whether I made the right decision or not.

Thank you all in advance for your input

I’ve been noticing a pattern across different healthcare AI projects.

A lot of teams get the model working.

Accuracy looks good.

Demos are impressive.

But once they try to move into real clinical environments, things start breaking down.

From what I’ve seen, the issue is rarely the AI itself.

It’s usually:

fragmented patient communication

lack of real-time interaction layers

difficulty integrating into existing workflows

compliance and audit requirements slowing everything down

In other words, the problem becomes more about infrastructure than intelligence.

Curious how others here see it —

Where do your AI projects usually get stuck?

Is it technical, operational, or something else?

Does anyone in an implementation role have any super helpful use cases for the Shortcuts app on their MacBook/iMac?

Just watched someone in support use it to pull up concurrent call logs during the client’s testing phase and thought it was really cool.

Just got an offer for $76k for an Epic Willow Ambulatory Analyst I position with a hospital near me. I am located in the Midwest in a MCOL city. Is this decent entry level pay? I have 1 year of IT experience and 8 years of pharmacy tech experience, mostly outpatient using non-Epic software, but a few years of inpatient where I worked with Epic as an end user. Unfortunately inpatient pharmacy experience does not seem to be very valuable for Willow ambulatory.

Can anyone tell me if this is a decent offer, or what I should be expecting for pay rate as a new analyst?

I searched this sub for this topic and found zero threads on it so… that is kind of an answer in its self I guess. But I gotta ask- do you expect a drug test when you start a new role?

I have a clinician background and had a lot of jobs in that role- so I’m just used to that being a standard part of healthcare jobs. When I took my current Epic role- I was pleased but shocked that the pre employment visit to Employee Health did NOT include a pee test!

I’m not a heavy THC user but I am neurotic and submitting job applications. So just wondering if I need to cut my microdosing (and occasional “real dose” 😂) to get my pee clean so nothing stands between me and a good offer.

Did your role test you for THC prior to employment? I understand that technically at any point most roles can could for a drug screen if that was deemed necessary.

This sub has helped me from I was first thinking about moving from RN to Epic and several times since. I appreciate it!!

I worked at epic in QA for 3 years. Then I worked as a “systems analyst“ for a non epic organization for a year. (Idk what a systems analyst typically does but that was my title. It was just troubleshooting and build configuration in the non epic EHR) I didn’t like the work so I left. For the past 11 months, I’ve been on a career break. The only work related thing I’ve done is obtain my PMP. I’ve just been traveling and doing fun stuff. But my noncompete ends next month and I have my first interview for an epic analyst role with a hiring manager this Thursday

Hi there, new to the sub and looking for example homepages from other healthcare systems that use cornerstone galaxy as their LMS system! We are moving from aspire/saba to cornerstone galaxy and trying to make decisions on what we want our home page to look like and would love to see some examples. Thanks!!

From tracking heart rate and sleep to detecting early health issues, they seem to offer real-time insights and better remote care. Curious to hear your thoughts on their benefits, challenges, and future potential.

I have a chance to attend a US MD program at a research institution (not well-known but still good) and interested in doing AI research / contributing to clinical AI literature during or after school (whether in the summer or in-between medical school years)

Obviously I would have to focus on boards and exams but wondering how I can still contribute my engineering background, or if this is even realistic.

I have always wanted to be a physician-technologist but others have told me to just work at a biotech startup (easier said than done, and I also want the didactic and clinical education as well).

The counter to this is that I am already much, much older than my incoming M1 classmates and I wonder if this is just the fanciest way of being unemployed and a student

Many organizations are not ready for what’s coming — and the clock is ticking.

Attachments have always been the “wild west” of claims processing: faxes, portals, emails, PDFs, phone calls, and payer‑specific upload systems. The new rule doesn’t magically fix that. It standardizes the attachment request/response, but it does not standardize your internal workflow.

HHS finalized the rule stating that the X12 277 transaction should be used by the payer to request additional information, and the X12 275 transaction should be used by the provider to electronically send the documentation. This final rule is effective May 26, 2026, and compliance is required by May 26, 2028.

Many organizations still don’t have a clean way to:

• route attachment requests

• match them to claims

• track deadlines

• coordinate between billing and clinical

• store documents securely

• reconcile responses

• prevent timely filing issues

REAL FAILURES will happen.

Missed attachments lead directly to denials, delays, and timely filing losses, and the new rule will multiply those risks. This is the operational reality. It is critical to understand these technical changes and how they will affect your workflows and bottom line.

Your team needs to:

• review updated payer companion guides

• map 277/275 workflows

• define process ownership (billing vs. clinical vs. IT)

• build routing rules

• plan to test with clearinghouses

• validate document formats

• create exception handling

This rule is not just an IT change. It’s a workflow change, a responsibility change, and a revenue‑protection change.

If your workflows aren’t ready for this transition, now is the time to diagnose the gaps.

The deadline isn’t the threat... the unprepared workflow is.

Hope this helps!!

Hey everyone! I used to be a nurse but transitioned to data analytics outside of healthcare (total career change). I have a Masters in MIS now and have been a data analyst for 2 years. In my job now I use primarily Alteryx and a little bit of SQL. I know SQL but I am not an expert. I have long been wanting to get into the Epic Analyst world and just landed an interview for an Epic Cogito Analyst 1 role. What can I expect for the interview? I’m nervous because I really want this and normally struggle in interviews. Just want to know what type of questions to expect.

Side note: Is a Cogito role safe for long term career? I just saw people worried about Cogito stability with the switch to Azure. Any info there appreciated as well. TIA!

Hey all, happy Sunday! Long story short, I just turned 30 and I've been in the health care revenue cycle my entire twenties so it's a lot of "all I know" on paper and honestly I love it bc I know more than people older than me who're fresh to the field so I know it's great for me to have this opportunity. Prior to turning 30, I've always done personal injury billing & the entire A/R for two private practices. I spent my 20s working for a very small 3rd party billing and consulting company..... It was great bc of the amount of billing/ revenue/ legal experience I got for5 only a high school degree but yeah, I had to gtfo. I received a job offer for a Epic HB position & accepted even after them knowing I've only dealt with personal injury but letting them know the reason I was leaving my prior position was due to me already hitting my ceiling & needed to grow my knowledge of the field as a whole. Nearly 6 months later & things are going great. I'm already responsible for multiple WQ's and having been handling very large claims. The Org I work took the chance with me and I think I am blowing expectations out of the water. I don't wanna sound rude but to you guys in the HB billing world, what has your career been like so far? Is this field financially a good decision to keep going? Is there more advancement? Thanks!

Hey everyone,
I’m a cybersecurity founder (specializing in Agentic AI) who got frustrated watching small practices struggle with fragmented tools, burnout from charting, and rising cyber threats.
So I built MedGuard AI — a true all-in-one AI Practice OS designed for solo, small, and mid-sized practices.
Current Features:
• Real AI ambient/voice Clinical Notes (SOAP + ICD-10/CPT suggestions)
• Smart Intake forms with red-flag alerts that auto-generate draft notes
• Legal/Consent document generator (HIPAA, Telehealth, Texas-specific, etc.)
• Agentic AI Cyber Hygiene dashboard (breach alerts, phishing simulations, risk scoring)
• Self-serve Data Migration Wizard (PDFs, Excel, old EHR exports)
• Chrome Extension for EHR push
• Shared patient workspace + Visit Prep summaries + Patient Instructions
Goal: One clean, affordable platform instead of 4–5 separate tools.
Pricing (at launch):
Pro $99/mo | Premium $199/mo | SMB/Group $299/mo
Right now I’m looking for 10–15 serious beta testers (especially solo docs, small groups, primary care, or Texas practices) who are willing to give honest feedback. In return, you’ll get free access during beta + big discounts when we launch.
If you’re tired of pajama-time charting, switching between tools, data migration headaches, or cyber/compliance stress — I’d love to get this in your hands.
Comment below or DM me if interested. Happy to hop on a quick 10-min demo.
Looking forward to your thoughts!

As a patient, they told us to download our medical record. Ok, did that, extracted it, how the heck am I supposed to read it or find anything by randomly clicking on files? They also don't say what info will be lost in the transition, just that some will. Why is nothing accessible unless you are an IT person?

Trying to decide if when I see “hybrid” in a job posting I can be fairly confident it means some days in office every week.

I often am looking at roles that are out of state. I don’t mind travel but being in office part of every week obviously wouldn’t work.

And has anyone had success calling the HR/ talent department for an org to find out?

I apply for jobs often enough that I have most of the parts and pieces set so it’s as streamlined as possible… buts it’s still enough of a pain that I don’t want to do it for positions that wouldn’t work out.

TIA!

I’m switching from clinical and past HIM experience to a Clinical Systems Analyst role. I really want this job but I believe they only work on Cerner at the moment. Our hospital is switching to epic next February. What Will happen to this position at that time? I interview in a few wins and I’m hoping to make this job my career for the next 35 years

I’ve spent the last decade on the clinical side of healthcare, but I’m currently transitioning into tech. I’ve been focusing on Application Support/QA/Frontend Development and am curious how others have successfully leveraged their clinical background in this current AI-driven market.

For those who made the jump in their 40s: Did you find that domain expertise gave you an edge in HealthTech roles, or did you pivot into a completely different sector? Would love to hear about your "bridge" roles.