Senior EDI Software Developer

Senior EDI Software Developer

Location: Indianapolis, Indiana (On site)

Position Type: Contract



Must Have:

- BS Degree Computer Science (at least)

- 5+ years of experience understanding EDI file formats (835, 837, 210)

- Knowledge of HIPAA regulations

Job Description

We are looking for a Senior EDI Software Developer to support and enhance claims processing and EDI transactions for IDOH s ACAPS system.

What You ll Do

• Review and update all documentation related to claims processing and EDI transactions
• Identify undocumented claims processing and EDI processes, and document them
• Act as a subject matter expert (SME) for the development team during the rewrite of IDOH s ACAPS system in .Net
• Act as liaison between the OTC team and the Children s program area for claims processing issues
• Collaborate with technical and functional staff on detailed business requirements, aligning business processes and technology with project goals, agency standards, federal, and state policies
• Write technical specifications based on conceptual design and stated business requirements
• Test new and existing systems for functionality and accuracy
• Ensure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts
• Provide helpdesk-level support for EDI claim transactions, including onboarding new healthcare providers and clearinghouses
• Work independently with minimal guidance and collaborate with ISDH external partners as needed

What You'll Need

Required:

• Bachelor s Degree in Computer Science or related fields with IT experience
• Database knowledge
• 5+ years of experience understanding EDI file formats (835, 837, 210)
• Knowledge of HIPAA regulations
• Ability to solve complex troubleshooting issues
• Excellent verbal and written communication skills

Preferred:

• Health industry experience
• Knowledge of IBM Websphere (WTX)
• Database/SQL experience

Physical Demands

• Ability to safely and successfully perform the essential job functions consistent with the ADA and other federal, state, and local standards
• Sedentary work that involves sitting or remaining stationary most of the time with occasional need to move around the office to attend meetings, etc.
• Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard, and monitor