Healthcare EDI Developer

Job description

Summary: We are expanding our Encounter Development team and seeking a Healthcare EDI Developer to support enterprise encounter reporting through timely, accurate generation and submission of 837D X12 encounter files. Job Responsibilities: - Execute recurring operational tasks to generate encounter data files; monitor daily production jobs, troubleshoot issues, and drive error investigation through resolution. - Design, build, and maintain X12 EDI 837 encounter processing workflows. - Ensure solutions comply with HIPAA and X12 standards, including state- and client-specific implementation guides. - Perform unit, integration, and regression testing for EDI processes and related data flows. - Interpret and reconcile 999, 277, 835, and custom state/client response files associated with encounter submissions. - Develop and maintain data mappings between internal application data models and EDI segments/loops. - Implement corrective actions to remediate defects and reduce or eliminate repeat issues. - Partner with external clients and internal operational teams on new client implementations and changes to existing submissions. - Create and execute EDI test plans and provide clear, timel...