Job ID: JOB_ID_3875
Job Summary
We are seeking an experienced Healthcare EDI Developer to join our client’s Encounter Development team. The primary focus of this role is to support enterprise encounter reporting by ensuring the timely and accurate generation and submission of 837D X12 encounter files. This position requires a strong understanding of healthcare EDI standards, data processing, and client implementation.
Key Responsibilities
- Execute daily operational tasks for encounter data file generation, monitor production jobs, troubleshoot issues, and drive resolutions.
- Design, build, and maintain X12 EDI 837 encounter processing workflows.
- Ensure all solutions comply with HIPAA and X12 standards, including state- and client-specific implementation guides.
- Perform comprehensive unit, integration, and regression testing for EDI processes and associated data flows.
- Interpret and reconcile 999, 277, 835, and custom state/client response files related to encounter submissions.
- Develop and maintain data mappings between internal application data models and EDI segments/loops.
- Implement corrective actions to address defects and prevent recurrence.
- Collaborate with external clients and internal operational teams on new client implementations and modifications to existing submissions.
- Create and execute EDI test plans, providing clear and timely status updates to stakeholders and clients.
Experience and Qualifications
- 3+ years of relevant experience in the healthcare industry, with a preference for Dental experience.
- 3+ years of experience in a data analyst role, preferably supporting healthcare EDI.
- 1+ years of experience developing post-adjudication X12 837 files (required).
- 1+ years of SQL experience.
- Working knowledge of HIPAA X12 standards, specifically the 837 claim/encounter transaction.
- Strong attention to detail with the ability to analyze client needs and accurately document processes.
- Excellent analytical, troubleshooting, and communication skills.
- Experience with IBM Sterling B2B Integrator is preferred.
Additional Information
- This is an onsite position located in Okemos, MI.
- Candidates local to Michigan or nearby states are preferred.
- A face-to-face interview is mandatory.
- H1B visa holders are preferred.
Special Requirements
Local or near by state (Face to Face interview must). only H1B Prefer.
Compensation & Location
Salary: $90,000 – $130,000 per year (Estimated)
Location: Okemos, MI
Recruiter / Company – Contact Information
Email: yan@turhire.com
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