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. This is a contract-to-hire opportunity and is fully REMOTE (must be in either EST or CST).

Key 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
• Conversion salary: $120,000 - $130,000 annually
• Full Benefits: Comprehensive Medical, Dental, Vision, and 401k

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