Key Responsibilities
- Candidate Must have over 10 years of experience in IT.
- Develop and maintain inbound/outbound HIPAA X12 837P, 837I, and 837D transactions using Edifecs.
- Configure X12 validations and payer-specific business rules.
- Develop mappings and transformations between X12, XML, JSON, flat files, and databases.
- Manage trading partner configurations, companion guides, and transaction workflows.
- Troubleshoot EDI issues and process
Required Skills
- Hands-on experience with Edifecs Smart Trading Platform (XEngine, SpecBuilder, Transaction Management).
- Strong knowledge of US healthcare claims workflows and HIPAA X12 EDI standards.
- Proficiency in SQL (Oracle, SQL Server, or PostgreSQL).
- Experience with XML/XSD, XSLT, flat files, and data transformations.
- Knowledge of ICD-10, CPT/HCPCS, NPI, payer, provider, and clearinghouse processes.
- Strong analytical, debugging, and problem-solving skills.