Healthcare EDI Developer
Company: RICEFW Technologies Inc
Location: Sterling Heights
Posted on: March 17, 2026
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Job Description:
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.
Keywords: RICEFW Technologies Inc, Westland , Healthcare EDI Developer, IT / Software / Systems , Sterling Heights, Michigan
