Please respond to vikr...@revosysit.com
Location: *Phoenix, AZ* Duration: *3-Months*, but manager said it will extend for a long time if the candidate does a good job as it is a long project Here are the details straight from the manager: *Must have Thorough expert level knowledge of HIPAA 837 i, p and NCPDP transaction formats* 1. *5 years experience in PL/SQL programming (Oracle 9i/10g)* 2. Unix Shell Scripting also a plus 3. SQR experience preferred Scope of Work: 1. Lead and troubleshoot Testing/QA of Behavioral Health HIPAA Encounter transaction processes between Regional Behavioral Health Agencies (RBHAs), Division of Behavioral Health Services (DBHS) and the Arizona Healthcare Cost Containment System (AHCCCS). 1. *HIPAA 837p (Professional claims)* 2. *HIPAA 837i (Institutional/UB claims)* 3. *NCPDP pharmacy claims* 2. Ability to *technically* coordinate Testing/QA of file formats, HIPAA segments, mapping with AHCCCS (Medicaid) PMMIS claims management system. Our new system utilizes a Unix/Oracle based technology platform along with SQR. The RBHAs submit the 837 claim files in HIPAA format using a standardized mapping document developed by DBHS. The incoming files are parsed using SQR and loaded into an Oracle Load table. PL/SQL packages process the data from the load tables into the regular encounter tables with some minimal data validations (e.g. dates etc.) There is behavioral health related business logic embedded within the PL/SQL packages. Following the successful processing of the data, an outbound file is created using SQR and the file is transmitted to AHCCCS using a secure ftp process. AHCCCS runs their claims processing tests once a week on Thursdays. DBHS has the opportunity to submit files until Wednesday late night. There are intermediate validator and community manager tools available to check the format of the outbound HIPAA files. The consultant will lead (along with a ADHS/ITS technical lead) the testing and QA of these files, check the files for accuracy and fidelity to HIPAA standards, assist with running the files through the validator and community manager and check the final mapping into the AHCCCS PMMIS system. The consultant must have the ability to troubleshoot potential coding issues within the new system in the technology platform specified. Thanks N' Regards, *Vikram M* *Revosys IT Inc.* *108-31, 47th Avenue, Corona, NY 11363* Ph: 347 468 7163 | Fax: 347 649 2053 vikr...@revosysit.com | www.revosysIT.com -- You received this message because you are subscribed to the Google Groups "IT RECURITER" group. To post to this group, send email to it-recuri...@googlegroups.com. To unsubscribe from this group, send email to it-recuriter+unsubscr...@googlegroups.com. For more options, visit this group at http://groups.google.com/group/it-recuriter?hl=en.