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Edi 837 Developer Jobs in Michigan (NOW HIRING)

Tech Tammina

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 ...

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 ...

Integra Partners

Integrations EDI Lead Engineer

Troy, MI · On-site +1

$140K - $140K/yr

HIPAA X12 transactions (837, 835, 270/271, 276/277, 278) * HL7 * FHIR APIs * Define technical ... Implement observability and monitoring across integration services. DevOps / Reliability * Partner ...

Saanvi Technologies

EDI Architect

Dearborn, MI · On-site

... packages, programming language, database, operating system), and a good knowledge of EDI Solution • Responsible for quality of solution in each environment and for each trading partner • ...

Stefanini Group

EDI Architect

Dearborn, MI · On-site

$66 - $71/hr

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 ...

Stefanini

EDI Architect

Dearborn, MI · On-site

ResponsibilitiesDemonstrate 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 ...

Stefanini Group

EDI Architect

Dearborn, MI

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)

Ann Arbor, MI · On-site

$140K - $160K/yr

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 ...

Stefanini Group

EDI Architect

Dearborn, MI

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 ...

Stefanini Group

EDI Architect

Dearborn, MI

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 ...

Robert Half

EDI Analyst

Southfield, MI · On-site

$110K - $125K/yr

Our client is seeking an experienced IT Senior EDI / ERP Analyst to join their corporate IT team. This role is responsible for supporting and enhancing the organization's EDI and ERP environments ...

Dechen Consulting Group

EDI Architect

Dearborn, MI · On-site

... packages, programming language, database, operating system), and a good knowledge of EDI Solution • Responsible for quality of solution in each environment and for each trading partner • ...

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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.
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Edi 837 Developer jobs near you
Healthcare EDI Developer

Healthcare EDI Developer

Tech Tammina

Okemos, MI • On-site

Full-time

Posted 19 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.

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