*KINDLY REFER IF YOU HAVE ANY FRIENDS INTERESTED FOR ANY OF THE BELOW
OPENINGS*

*No OPT’s Please*

*Requirement details:   *

Job title: *Healthcare EDI Analyst*

Location: Albany, NY

Duration: 12+ Months



*Healthcare EDI Encounter Analyst: – HIPAA, 835, 837, 277, 999  Encounter*



*Job Description*:



*Scope and Purpose of Position:*

Primary job responsibility is to assume responsibility for the development,
internal production and support process related and ensuring the timely and
accurate processing of *837 X12 Encounters files* for Claims submitted by
Beneficiaries maintained in the healthcare claims system and other EDI
related files.

*Major Duties and Responsibilities:*

·         Primary analytical role related to the claims adjudication system
and internal processes.

·         Responsible for importing, validating and reporting data into
database or exporting data from the database into appropriate EDI formats
to support business processes.

·         Responsible for developing and testing HIPAA EDI 5010 X12 mapping
formats (835, 837, 277, 999) as well as industry standard and custom
formats using ETL tools.

·         Manage day-to-day production file monitoring for complex 837
encounter file processing including troubleshooting and error investigation.

·         Coordinate with external clients and internal operations depts.
to ensure effectual setup and design of data formatting and flow for new
client implementations.

·         Provides ad-hoc data/reports to clients or internal departments
per request.

·         Produce comprehensive documentation of all developed software &
repositories.


-- 
*Thanks & Regards,*
Sam Thomas

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