Healthcare EDI Developer - Sterling Heights Michigan

Company: RICEFW Technologies Inc
Location: Sterling Heights, Michigan
Posted On: 03/18/2026

Job Description Role: Healthcare EDI Developer Summary We are expanding our Encounter Development team and seeking a Healthcare EDI Developer to support enterprise encounter reporting through timely, accurate generation and submission of 837D X12 encounter files. Job Responsibilities · Execute recurring operational tasks to generate encounter data files; monitor daily production jobs, troubleshoot issues, and drive error investigation through resolution. · Design, build, and maintain X12 EDI 837 encounter processing workflows. · Ensure solutions comply with HIPAA and X12 standards, including state- and client-specific implementation guides. · Perform unit, integration, and regression testing for EDI processes and related data flows. · Interpret and reconcile 999, 277, 835, and custom state/client response files associated with encounter submissions. · Develop and maintain data mappings between internal application data models and EDI segments/loops. · Implement corrective actions to remediate defects and reduce or eliminate repeat issues. · Partner with external clients and internal operational teams on new client implementations and changes to existing submissions. · Create and execute EDI test plans and provide clear, timely status updates to internal stakeholders and clients. Experience and Qualifications · 3 years of relevant experience in the healthcare industry, Dental preferred · 3 years of experience in a data analyst role, preferably supporting healthcare EDI. · 1 years of experience developing post-adjudication X12 837 files (required). · 1 years of SQL experience. · Working knowledge of HIPAA X12 standards, specifically the 837 claim/encounter transaction. · Strong attention to detail with the ability to analyze client needs and accurately document processes. · Excellent analytical, troubleshooting, and communication skills. · Experience with IBM Sterling B2B Integrator is preferred. More...

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