EDI 837 Claims Developer

Piper Companies is seeking a mid to senior-level EDI 837 Claims Developer to join a growing healthcare data management organization for a 100% REMOTE contract-to-hire opportunity.

Responsibilities for the EDI 837 Claims Developer:

• Lead the development of 837 EDI claims processes, including corrections and error handling.
• Manipulate and integrate data from varied sources/formats: flat files, relational/non-relational databases, XML, JSON, and more.
• Provide technical guidance on EDI tools and recommend new applications for claims processing.
• Collaborate with the dev team to integrate AI-powered data extraction tool and implement business rules around claims submission.
• Ensure HIPAA compliance and optimize data flows from JSON outputs to the 837 format.

Qualifications of the EDI 837 Claims Developer:

• The ideal candidate will be a Subject Matter Expert (SME) in healthcare claims and EDI transactions, particularly the 837 format, and will be instrumental in helping the development team stand up a new claims project.
• Strong expertise in healthcare claims, specifically with 837 EDI transactions.
• Knowledge of and experience with common EDI tools such as BizTalk, Informatica, Sterling, and/or Edifecs
• Ability to recommend/help implement new tools and solutions.
• Experience with claims correction processes and clearinghouse submissions.
• Ability to manipulate data across multiple formats and sources.

Compensation for the EDI 837 Claims Developer:

• Hourly Rate: $55.00 - $62.00 per hour
• Target Conversion salary of $120,000 - $130,000 annually
• Full Benefits: Comprehensive Medical, Dental, Vision, and 401k

Keywords:

EDI, 837 Claims, HIPAA, X12, ANSI, Healthcare, Claims Processing, XML, SQL, Data Mapping, Integration, Trading Partners, EDI Standards, EDI Transactions, EDI Compliance, EDI Implementation, EDI Testing, EDI Troubleshooting, Data Analysis, Data Transformation, EDI Software, EDI Tools, EDI Systems, EDI Architecture, EDI Configuration, EDI Development, EDI Documentation, EDI Guidelines, EDI Protocols, EDI Security, EDI Solutions, EDI Support, EDI Maintenance, EDI Interfaces, EDI Formats, EDI Validation, EDI Automation, EDI Monitoring, EDI Reporting, EDI Coordination.

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