Sr Edifecs Developer
People Force Consulting Inc
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Job Details
Skills
- EDIFECS
- JSON
- Claims
- X12 and internal formats (XML
- flat files
- database structures)
Summary
Job description
Sr Edifecs Developer
Experience: - 8+ Years
Location: - Remote
Educational Qualifications: -
- Engineering Degree BE/ME/BTech/MTech/BSc/MSc.
Technical certification in multiple technologies is desirable.
As an Edifecs Developer you will design, build, and support EDI solutions for US healthcare claims processing. You will work mainly with HIPAA X12 837 (Professional, Institutional, and Dental) transactions, using the Edifecs platform to implement validation, transformation, and routing between clearinghouses, web applications and internal claims systems.
Responsibilities: -
- Design, develop, and maintain EDI solutions using Edifecs (XEngine, Specbuilder, Transaction Management, or equivalent) for inbound and outbound 837P, 837I, and 837D transactions.
- Build and configure HIPAA X12 validation rules, including SNIP levels 1-7, and implement custom payer-specific business rules.
- Develop maps and transformations between X12 and internal formats (XML, JSON, flat files, database structures).
- Create and maintain trading partner profiles, companion guides, and partner-specific configurations.
- Analyze 837 implementation guides (5010) and translate requirements into technical designs.
- Process and reconcile related transactions such as 999/TA1 acknowledgments, 277CA claim acknowledgments, 835 remittances, and 276/277 claim status.
Mandatory skills: -
- Hands-on experience with Edifecs Smart Trading Platform (XEngine, Specbuilder, Transaction Management)
- Strong understanding of US healthcare claims workflows (submission, adjudication, rejections/denials, remittance) and terminology such as payer, provider, clearinghouse, ICD-10, CPT/HCPCS, and NPI.
- Proficiency in SQL (Oracle, SQL Server, or PostgreSQL) for data analysis and troubleshooting.
- Experience with XML/XSD, XSLT, and flat-file and delimited-file formats.
- Strong analytical, debugging, and problem-solving skills.
Good to have:
- Edifecs certification, HIPAA/EDI certification (e.g., X12 or AHIMA/HIMSS-related), or relevant healthcare IT training.
- Dice Id: 90938791
- Position Id: 2026-474
- Posted 1 hour ago
Company Info
About People Force Consulting Inc
People Force Consulting Inc is an innovative and leading workforce solutions provider, providing Staffing and Professional Services to clients in USA and Canada. We empower our clients with the right work force. Our clients rely on us to provide services and solutions that leverage our industry and domain expertise combined with our technology prowess, delivery focus and quality.
We put our customer, employees and consultants at the heart of everything we do. Building enduring relationships with clients and candidates is our foundational principle. Our collaborative culture and work environment helps attract and retain exceptional talent which is a key ingredient to address our client s needs and help drive our sustained growth.
People Force Consulting Inc is a Certified Women s Business Enterprise (WBE). We strongly believe a diverse, inclusive environment allows customers and employees to reach their fullest potential.