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.
