Description

You will manage healthcare data mapping and CMS encounter file submissions to ensure regulatory compliance and system interoperability.

This role is remote.

Responsibilities

• Map healthcare data to 837 segments following CMS guidelines and supplemental benefit scenarios.
• Handle X12 837 and JSON file formats to ensure accurate system interoperability.
• Debug and troubleshoot data parsing or processing issues.
• Prepare and submit encounter files to CMS in compliance with reporting requirements.
• Collaborate with developers and testers to refine mapping requirements and provide technical documentation.

Required Skills

• 5+ years of experience in technical analysis or data mapping.
• Expertise in X12 837 healthcare claims transaction formats.
• Proficiency in JSON file handling.
• Experience with CMS encounter file submission processes.
• Ability to validate and transform data for accurate regulatory submission.
• Any Graduate degree.

Key Skills

Education

Any Graduate