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Edi 837 Developer Jobs in California (NOW HIRING)

Quantix

EDI Analyst

Alameda, CA

EDI purchase orders, bill of lading, etc) 2) Knowledgeable in X12 837 and NCPDP formats Additional Information Please send your updated resume to rjuarez @quantixinc. com or you can reach me at ...

Avani Technology Solutions, Inc.

EDI Analyst

Orange, CA · On-site

HIPPA Standards( 277-999, 837, X12 Formats Under minimal supervision, this position is responsible for administering all aspects of EDI setup, analysis, design, mapping, testing, troubleshooting and ...

Applied Medical

EDI Developer

Rancho Santa Margarita, CA · On-site +1

$90K - $140K/yr

Position Description The EDI Developer at Applied Medical plays a critical role in delivering high-quality Electronic Data Interchange (EDI) solutions that support business objectives and enhance ...

Applied Medical

EDI Developer

Rancho Santa Margarita, CA · On-site +1

$90K - $140K/yr

Position Description The EDI Developer at Applied Medical plays a critical role in delivering high-quality Electronic Data Interchange (EDI) solutions that support business objectives and enhance ...

MagnaFlow

ERP EDI and Integrations developer

Oceanside, CA · On-site

$130K - $155K/yr

What you will be doing: ERP EDI and Integrations developer is responsible for designing, building, and supporting system integrations and EDI processes. This role serves as the primary technical ...

Apex Informatics

Facets EDI Consultant

San Jose, CA · On-site

Facets EDI Consultant Location: 100% Remote Duration: 12+ Months Contract We are seeking an ... Programming experience in C# or VB.NET is a plus. Experience with Web Services configuration ...

Apex Informatics

Facets EDI Consultant

San Jose, CA · On-site

$50/hr

Programming experience; C# or VB.NET experience is a plus. * Experience with the Facets application; Claims, Membership, and Product configuration experience is preferred. * Experience with Facets ...

Jakks Pacific Inc

EDI Coordinator

Santa Monica, CA · On-site

$70K - $75K/yr

Manage and prioritize EDI setups with new trading partners and new or changed documents for ... Any coding experience in general purpose programming languages a big plus Our Benefits: * Health ...

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Edi 837 Developer information

What is an EDI 837 developer?

An EDI 837 Developer is a specialized IT professional who designs, develops, and maintains electronic data interchange (EDI) solutions focused on the 837 transaction set, which is used for healthcare claims processing. They work with healthcare organizations and insurance companies to ensure that medical claims are accurately formatted, transmitted, and received according to HIPAA standards. Their responsibilities often include mapping data between internal systems and EDI formats, troubleshooting transmission errors, and ensuring compliance with regulatory requirements. EDI 837 Developers play a crucial role in streamlining the claims submission process and improving data accuracy in the healthcare industry.

What are the key skills and qualifications needed to thrive as an EDI 837 developer?

To thrive as an EDI 837 Developer, you need a solid understanding of healthcare EDI standards, particularly the 837 claim format, along with experience in data mapping and integration. Familiarity with EDI translation tools (such as Gentran, Sterling Integrator, or BizTalk), HIPAA compliance, and knowledge of XML/X12 file formats are crucial, and certifications in EDI or healthcare IT can be advantageous. Attention to detail, strong analytical thinking, and effective communication help in troubleshooting issues and collaborating with stakeholders. These skills ensure accurate claims processing, regulatory compliance, and seamless data exchange between healthcare entities.

What are some common challenges faced by EDI 837 developers when integrating with healthcare payer and provider systems?

EDI 837 Developers often encounter challenges related to inconsistent data formats, varying compliance requirements among payers and providers, and handling large volumes of sensitive healthcare claims data. Integration requires careful mapping of data fields and rigorous testing to ensure HIPAA compliance and data accuracy. Close collaboration with business analysts, QA testers, and trading partners is crucial to resolve discrepancies and maintain smooth data exchanges.

What is the difference between Edi 837 Developer vs Edi 837 Analyst?

AspectEdi 837 DeveloperEdi 837 Analyst
Primary RoleDesigns, develops, and maintains EDI 837 healthcare claim transactionsAnalyzes and reviews EDI 837 transactions for accuracy and compliance
Skills & CertificationsEDI programming, healthcare claims knowledge, scripting languagesHealthcare billing, claims processing, data analysis
Work EnvironmentIT departments, healthcare organizations, EDI service providersHealthcare providers, insurance companies, billing departments

The Edi 837 Developer focuses on creating and maintaining EDI 837 transaction files, ensuring they meet technical specifications. In contrast, the Edi 837 Analyst reviews and audits these transactions for accuracy and compliance. Both roles require healthcare claims knowledge, but the Developer emphasizes technical development, while the Analyst emphasizes data analysis and validation.

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Cities in California with the most Edi 837 Developer job openings:

Edi 837 Developer jobs near you

Facets EDI Analyst

San Francisco, CA • On-site

Decision Wave
See more jobs at Decision Waveexternal

Contractor

Re-posted 16 days ago

Job description

Company Description
Rosy Mackness
DecisionWave Technologies Inc .,
Direct: (617) 844-0932 / fax (866) 758-0846
rosy at decisionwave.com
Job Description
Job Title: Facets EDI Analyst
Location: San Francisco, CA
Hire Type: Contact - 6 Months
Job Roles/Responsibilities
  • Should have 4+ Years of Experience in FACETS and EDI.
  • Review requirements received from client and do in-depth analysis on requirements and its feasibility to come with SUC.
  • Involve Joint Application Development (JAD) discussion with client team, understand the requirements.

Must Have Skills: Facets, SQL AND EDI 837
Rosy Mackness
DecisionWave Technologies Inc .,
Direct: (617) 844-0932 / fax (866) 758-0846
rosy at decisionwave.com
Qualifications
EDI Analyst
Additional Information
Must Have Skills: Facets, SQL AND EDI 837

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