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Edi 837 Developer Jobs in Indiana (NOW HIRING)

Apex Informatics

EDI Developer

Indianapolis, IN · On-site

$59.06/hr

Understanding EDI file formats (835, 837, 210) * Knowledge of HIPAA regulations * Ability to solve complex troubleshooting issues * Excellent verbal and written communication skills Preferred ...

Apex Informatics

.Net Developer

Indianapolis, IN · On-site

$46 - $61/hr

Understanding EDI file formats (835, 837, 210) * Knowledge of HIPAA regulations * Ability to solve complex troubleshooting issues * Excellent verbal and written communication skills Preferred ...

PROTRANS INTERNATIONAL LLC

EDI Analyst

Indianapolis, IN · On-site

EDI Business Analyst Position Summary: The EDI Business Analyst is responsible for ensuring the ... developers, ensuring long-term supportability and system stability. ○ Develop detailed test cases ...

Selerix

EDI Coordinator

Indianapolis, IN · On-site +1

Director, EDI Job Summary The EDI Coordinator is the entry point into the EDI job family at Selerix. This role provides the coordination and communication backbone that keeps the EDI team's work ...

Selerix

EDI Coordinator

Indianapolis, IN

Director, EDI Job Summary The EDI Coordinator is the entry point into the EDI job family at Selerix. This role provides the coordination and execution backbone that keeps the EDI team's work moving ...

Circle K

EDI Analyst

Columbus, IN

The EDI Analyst will support the implementation and maintenance of Electronic Data Interchange (EDI) systems and processes, partnering with vendors, Accounting, Pricebook, and IT teams. This role ...

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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?

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

EDI Developer

Apex Informatics

Indianapolis, IN • On-site

$59.06/hr

Other

Re-posted 25 days ago

Job description

JOB SUMMARY
The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication messages are generated and sent back to the originating provider. This position will work with the project manager, software developers, business analysts, and functional team members on the project activities.
Key Responsibilities
  • Review update all documentation related to claims processing and EDI transactions
  • Identify incompletely documented claims processing and EDI processes, and document them
  • Work with development team as a SME as IDOH's ACAPS system is rewritten in .Net
  • Act as liaison between OTC team and the Children's program area on claims processing issues
  • Working with technical and functional staff on detailed business requirements, understanding business processes and technology, agency standards, federal and state policies to align with project's goals.
  • Write technical specifications based on conceptual design and stated business requirements.
  • Test new and existing systems
  • Ensure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts.
  • Provide helpdesk level support for EDI claim transactions.

o Provide support to healthcare providers who interact with IDOH's CSHCS system
o Assist in onboarding new providers
o Assist in onboarding new clearinghouses
  • Ability to work independently with less guidance and work with ISDH externals partners as needed.

Required Qualifications
  • Bachelor's Degree in Computer Science or related fields with IT experience
  • Database knowledge
  • Understanding EDI file formats (835, 837, 210)
  • Knowledge of HIPAA regulations
  • Ability to solve complex troubleshooting issues
  • Excellent verbal and written communication skills

Preferred Qualifications
  • Health Industry experience
  • Knowledge of IBM Websphere (WTX)
  • Database/SQL experience

Education/Experience
  • Bachelor's Degree in Computer Science or related fields with IT experience

Skill Matrix
Skill
Required / Desired
Years of Experience
Response
Bachelor's Degree in Computer Science or related fields with IT experience
Required
Database knowledge
Required
5 Years
Understanding EDI file formats (835, 837, 210)
Required
5 Years
Knowledge of HIPAA regulations
Required
Ability to solve complex troubleshooting issues
Required
Excellent verbal and written communication skills
Required
Health Industry experience
Highly desired
Knowledge of IBM Websphere (WTX)
Highly desired
Database/SQL experience
Highly desired
Compliance Requirements / Client Questions
Question
Description
Response
Question 1
Absences greater than two weeks MUST be approved by CAI management in advance, and contact information must be provided to CAI so that the resource can be reached during his or her absence. The Client has the right to dismiss the resource if he or she does not return to work by the agreed upon date. Do you agree to this requirement?
Question 2
Please provide candidate's email address.
Question 3
Candidate must be local to Indianapolis. Please provide current home address.
Question 4
The candidate pay rate for this position is $59.06. The Provider Markup for this position is 35%. Do you agree to these requirements?
Question 5
Selected resource will be required to work onsite 3 days per week and 2 days remote. Please confirm the resource understands this requirement.
Question 6
Initial technical interview will be via Teams. Final interview will be via Teams or in person, per the request of the manager. Please confirm the resource understands the interview process.
Question 7
Position is expected to extend past 8/15/2026. Please confirm the resource understands this requirement.

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