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Edi 837 Developer Jobs in Michigan (NOW HIRING)

Tech Tammina LLC

Healthcare EDI Developer

Okemos, MI · On-site

Role: Healthcare EDI (837/Encounter) Developer Location: Okemos, MI (Hybrid, 3 days a week onsite) Duration: Long term Description: We are expanding our Encounter Development team and seeking a ...

krg technology inc

"EDI Consultant "

Battle Creek, MI · On-site

EDI Consultant Location : Battle Creek, Michigan Duration : Full Time - Mandatory Skills : EDI ... Onsite experience Experience in UNIX Shell Scripting, Linux, Scripting Team Lead / Senior Developer ...

Saanvi Technologies

EDI Architect

Dearborn, MI · On-site

Demonstrate a good level of expertise in one or more technical environments (software packages, programming language, database, operating system), and a good knowledge of EDI Solution * Responsible ...

JDA

EDI Integration Architect ( US citizen)

Southfield, MI

$140K - $160K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

Mentor engineering teams on DLMS/EDI concepts and integration best practices. Participate in design reviews and architectural governance. Required Qualifications * 8+ years of experience in software ...

JDA

EDI Integration Architect ( US citizen)

Ann Arbor, MI

$140K - $160K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

Mentor engineering teams on DLMS/EDI concepts and integration best practices. Participate in design reviews and architectural governance. Required Qualifications * 8+ years of experience in software ...

Apex Systems

EDI Architect

Dearborn, MI · On-site

$50 - $70/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Programming languages * Databases * Operating systems * Maintain a solid knowledge of EDI solutions * Own the quality of solutions across each environment and for each trading partner * Coordinate ...

Info Services LLC

EDI Architect

Michigan Center, MI · On-site

🔥 Senior EDI Architect - High Priority Opportunity We are looking for an experienced Senior EDI Architect with strong expertise in EDI Architecture, Enterprise Integration, Middleware, and Supply ...

CFS

EDI Specialist

Grand Rapids, MI · Remote

$38 - $45/hr

EDI Specialist Compensation $38.00 - $45.00/ per hour Job Type: Full-time hours, Mon-Fri Location: 100% Remote Job Summary: We are seeking an experienced EDI Specialist to provide immediate support ...

Scalence L.L.C.

EDI Architect

Dearborn, MI · On-site

C. is seeking an EDI Architect, a senior IT professional responsible for designing, implementing, and managing EDI system integrations. The role involves handling the full scope of EDI architecture ...

Deegit Inc

EDI Business Analyst

Portage, MI · On-site

We do have an urgent Position for EDI Lead . Please find the requirement below for your review. Below is the for your reference Position: EDI Analyst Location: Portage, MI Duration: 12 months • ...

krg technology inc

Axway Developer

Dearborn, MI · On-site

Well versed on designing, developing ,modifying and debugging various map types include EDI to XML, EDI to Positional, EDI to Database, XML to EDI, CSV to XML, XML to Positional) Experience on ...

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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.

What are popular job titles related to Edi 837 Developer jobs in Michigan?

For Edi 837 Developer jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Edi 837 Developer jobs in Michigan look for?

The top searched job categories for Edi 837 Developer jobs in Michigan are:

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

Edi 837 Developer jobs near you

Healthcare EDI Developer

Tech Tammina LLC

Okemos, MI • On-site

Contractor

Re-posted 12 days ago

Job description

Role: Healthcare EDI (837/Encounter) Developer

Location: Okemos, MI (Hybrid, 3 days a week onsite)

Duration: Long term

Description:

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, timely status updates to internal stakeholders and clients.

Experience and Qualifications

  • 3+ years of relevant experience in the healthcare industry, Dental preferred
  • 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.