Ensure accurate and timely Encounter file processing and submission to State and federal agencies.
Provide analytical, research, and technical data support for regulatory/business-oriented processes for Encounter Data Operations.
Analyze and interprets encounter data to identify potential issues and trends; Review, research, investigate and correct encounter issues through data and process analysis.
Propose short term and long term solutions for fixing Encounters data validation errors and State rejects to improve submission and acceptance rates and to meet State and client Service level agreements.
Perform User acceptance testing for new requirements\system fixes
May also help with coding for System fixes.
 
Required Skills
5 years’ experience in full life cycle software development, including requirement definition, analysis, design, coding, system testing, documentation and implementation
Bachelor’s degree in Computer Science or related field
Strong Analytical & Problem Solving skills
Excellent SQL hands on experience with ability to write complex queries.
Oracle\SQL Server hands on working experience with ability to develop new or modify existing stored procedures.
Good Healthcare Experience required. Should know about EDI formats like 837, 835, 277, etc.
Intermediate or higher level proficiency in Excel
Ability to communicate analysis including trends and opportunities to clients and the business in writing and verbally
Preferred Skills
1. Encounters Knowledge
2. FACETS experience
3. SSIS\SSRS experience
Job Description
Ensure accurate and timely Encounter file processing and submission to State and federal agencies.
Provide analytical, research, and technical data support for regulatory/business-oriented processes for Encounter Data Operations.
Analyze and interprets encounter data to identify potential issues and trends; Review, research, investigate and correct encounter issues through data and process analysis.
Propose short term and long term solutions for fixing Encounters data validation errors and State rejects to improve submission and acceptance rates and to meet State and client Service level agreements.
Perform User acceptance testing for new requirements\system fixes
May also help with coding for System fixes.
 
Required Skills
5 years’ experience in full life cycle software development, including requirement definition, analysis, design, coding, system testing, documentation and implementation
Bachelor’s degree in Computer Science or related field
Strong Analytical & Problem Solving skills
Excellent SQL hands on experience with ability to write complex queries.
Oracle\SQL Server hands on working experience with ability to develop new or modify existing stored procedures.
Good Healthcare Experience required. Should know about EDI formats like 837, 835, 277, etc.
Intermediate or higher level proficiency in Excel
Ability to communicate analysis including trends and opportunities to clients and the business in writing and verbally