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Edi 837 Developer Jobs in Florida (NOW HIRING)

Kavaliro

EDI Developer

Orlando, FL · On-site

Design and support SFTP based inbound/outbound integrations for large flat files (837/835 ... EDI/X12 processing using EdiFabric or equivalent EDI toolkits * X12 transaction pipelines (837, 835 ...

Jazwares

Sr EDI Developer

Plantation, FL · On-site

As the Senior EDI Developer, you will be responsible for designing, developing, implementing, and maintaining Electronic Data Interchange (EDI) solutions and enterprise system integrations. This role ...

Jazwares

Sr EDI Developer

Plantation, FL

As the Senior EDI Developer, you will be responsible for designing, developing, implementing, and maintaining Electronic Data Interchange (EDI) solutions and enterprise system integrations. This role ...

Zelis

EDI Analyst

Saint Petersburg, FL

... 837, 834, and 270/271 is a plus. * Strong understanding of the healthcare claims lifecycle, payment processing, provider payment posting, and reconciliation. * Experience with EDI validation tools ...

Cook Systems

EDI Specialist

Tallahassee, FL · On-site

A minimum of 3 years of IT or related work experience in e-commerce, network, telecommunications engineering, and support in multi-platform environments. * Experience in EDI programs development ...

Theron Partners Inc.

EDI Analyst

Boca Raton, FL · On-site

EDI Analyst Location: Boca Raton, FL Duration: 6-12+ Months Contract (Potential Extension) Schedule: Onsite Role (All 5-Days) Position Summary: The EDI Analyst is responsible for supporting ...

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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 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.

What are the key skills and qualifications needed to thrive as an EDI 837 Developer, and why are they important?

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 are popular job titles related to Edi 837 Developer jobs in Florida? For Edi 837 Developer jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Edi 837 Developer jobs in Florida look for? The top searched job categories for Edi 837 Developer jobs in Florida are:
What cities in Florida are hiring for Edi 837 Developer jobs? Cities in Florida with the most Edi 837 Developer job openings:
Edi 837 Developer jobs near you
EDI Developer

EDI Developer

Kavaliro

Orlando, FL • On-site

Full-time

Posted 10 days ago

Job description

Job Description
X12 Developer Role Overview / What This Role Does This role is responsible for designing, supporting, and maintaining a large scale healthcare billing and eligibility platform that processes Medicaid and commercial insurance transactions across multiple states.
The developer will own end?to?end billing workflows-including eligibility, claim submission, remittance processing, escrow and recoupment logic, and corrections-ensuring claims are accurate, compliant, and paid correctly.
The developer will work heavily in backend integration services, SQL Server stored procedures, and batch processing systems, troubleshooting complex production issues, implementing payer? and state?specific business rules, and performing data corrections when needed.
This role requires close collaboration with billing operations, data teams, and compliance stakeholders to translate policy and reimbursement rules into reliable system behavior.
Success in this role means keeping mission critical billing processes running, resolving production issues quickly and safely, preventing duplicate or incorrect claims, and continuously improving the stability, performance, and correctness of a business critical system. Key Responsibilities & Required Skills Healthcare Billing & EDI Expertise
  • Deep experience with HIPAA X12 transactions: 270/271 (Eligibility), 276/277 (Claim Status), 837P/I (Claims), 835 (Remittance), 999/TA1 acknowledgements
  • Strong understanding of Medicaid and commercial insurance billing workflows, including Primary vs secondary claims, Escrow and recoupment logic, voids, corrections, rebills, sweeps, denials, and adjustments
  • Understanding of Healthcare revenue & claims life cycle including, escrow, takebacks, overpayments, rate corrections, voids, corrections, rebills, sweeps, and reprocessing
  • Ability to debug payer specific rules and state specific Medicaid behaviors
Backend Development & Database Engineering
  • Advanced SQL Server skills including writing, debugging, and optimizing complex stored procedures, diagnosing stuck records, data corrections, backfills, and one time cleanup scripts in production
  • Experience maintaining batch oriented and transaction oriented processing systems
Integration & File Processing
  • Design and support SFTP based inbound/outbound integrations for large flat files (837/835, eligibility feeds, daily ETLs)
  • Build and maintain high volume, batch oriented, file based processing workflows
  • Implement resilient import pipelines with error handling, retry logic, alerting, and recovery mechanisms
Cloud & Platform Skills
  • Experience operating production systems in AWS
  • Comfort working in mixed legacy + modern environments
Production Support & Incident Management
  • Proven ability to:
    • Triage production issues quickly using logs, data analysis, and job history
    • Identify root causes across application code, stored procedures, and data
    • Execute fixes under production pressure
  • Experience responding to recurring system alerts and eliminating root causes
  • Diagnosing job timing, retries, late files, partial runs
Business Logic & Rules Engines
  • Implement and maintain complex validation/edit logic
  • Translate policy changes into code and data changes
  • Strong attention to reporting, financial accuracy and audit readiness
  • Design and support configurable solutions to accommodate varying state rules
Professional Skills
  • Comfortable working with domain experts (billing, compliance, operations)
  • Writes clear, auditable SQL and application logic
  • Documents decisions and understands regulatory impact
Required Technical Skills .NET Development
  • C# development with .NET Core 6/8/10, .NET Framework 4.8, and ASP.NET Web Forms
  • EDI/X12 processing using EdiFabric or equivalent EDI toolkits
  • X12 transaction pipelines (837, 835, eligibility, acknowledgments)
  • Secure application development including PII/PHI handling (HIPAA) and role based access
  • Configuration driven architecture separating code from environment, client, and state/agency rules
Database & Data Engineering
  • SQL Server 2019+
  • Advanced TSQL (complex queries, data modification, performance optimization)
  • SSIS package maintenance and tuning
  • Stored procedures, views, and database security
  • Data analysis across highly configurable schemas
  • Database deployment and release scripting
ORM & Data Access
  • Entity Framework
  • LINQ query composition
  • DbContext lifecycle and performance management
Application Quality & Performance
  • Debugging and root cause analysis
  • Ability to identify, refactor, and improve poorly performing code
  • Application and database performance tuning
  • Code refactoring for maintainability and scalability
  • Unit testing for new and existing functionality
Source Control & DevOps
  • Git (branching strategies, pull requests, code reviews)
  • Azure DevOps (pipelines, work items, repositories)
Configuration & Deployment
  • Environment aware development and deployment patterns
  • File based and database driven configuration management
Kavaliro provides Equal Employment Opportunities to all employees and applicants. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Kavaliro is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Kavaliro will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please respond to this posting to connect with a company representative.
Job Requirements
Remote
By using best practices and optimal employee recruiting strategies, Kavaliro provides employers with employment solutions by providing the most qualified and professional employees, who can staff both project and permanent positions in order to ensure the ongoing success of all types of businesses. We use a streamlined-yet-thorough approach to staffing that saves our clients administrative time, resources and money.

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