{"schemaVersion":"jobsearcher.job.v1","id":"d0075d5b4fa43a227c155d3d","url":"https://jobsearcher.com/jobs/d0075d5b4fa43a227c155d3d","canonicalUrl":"https://jobsearcher.com/jobs/d0075d5b4fa43a227c155d3d","title":"Edifecs Technical Lead","description":"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.\n\nMandatory skills: -\n\nHands-on experience with Edifecs Smart Trading Platform (XEngine, Specbuilder, Transaction Management)\nStrong understanding of US healthcare claims workflows (submission, adjudication, rejections/denials, remittance) and terminology such as payer, provider, clearinghouse, ICD-10, CPT/HCPCS, and NPI.\nProficiency in SQL (Oracle, SQL Server, or PostgreSQL) for data analysis and troubleshooting.\nExperience with XML/XSD, XSLT, and flat-file and delimited-file formats.\nStrong analytical, debugging, and problem-solving skills.\n\nGood to have:\n\nEdifecs certification, HIPAA/EDI certification (e.g., X12 or AHIMA/HIMSS-related), or relevant healthcare IT training.\n\nResponsibilities: -\n\nDesign, develop, and maintain EDI solutions using Edifecs (XEngine, Specbuilder, Transaction Management, or equivalent) for inbound and outbound 837P, 837I, and 837D transactions.\nBuild and configure HIPAA X12 validation rules, including SNIP levels 1-7, and implement custom payer-specific business rules.\nDevelop maps and transformations between X12 and internal formats (XML, JSON, flat files, database structures).\nCreate and maintain trading partner profiles, companion guides, and partner-specific configurations.\nAnalyze 837 implementation guides (5010) and translate requirements into technical designs.\nProcess and reconcile related transactions such as 999/TA1 acknowledgments, 277CA claim acknowledgments, 835 remittances, and 276/277 claim status.","company":"Eapps Tech Dba Magicforce","rawCompany":"eapps tech dba magicforce","city":"Raleigh","state":"NC","isRemote":false,"isActive":false,"createdAt":"2026-10-28T11:25:39.599Z","occupations":[{"code":"29-9021.00","title":"Health Information Technologists and Medical Registrars","slug":"health-information-technologists-and-medical-registrars"},{"code":"15-1211.01","title":"Health Informatics Specialists","slug":"health-informatics-specialists"},{"code":"15-1252.00","title":"Software Developers","slug":"software-developers"}],"industries":[{"code":"541512","title":"Computer Systems Design Services","slug":"computer-systems-design-services"},{"code":"541511","title":"Custom Computer Programming Services","slug":"custom-computer-programming-services"},{"code":"513210","title":"Software Publishers","slug":"software-publishers"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Edifecs Technical Lead","description":"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.\n\nMandatory skills: -\n\nHands-on experience with Edifecs Smart Trading Platform (XEngine, Specbuilder, Transaction Management)\nStrong understanding of US healthcare claims workflows (submission, adjudication, rejections/denials, remittance) and terminology such as payer, provider, clearinghouse, ICD-10, CPT/HCPCS, and NPI.\nProficiency in SQL (Oracle, SQL Server, or PostgreSQL) for data analysis and troubleshooting.\nExperience with XML/XSD, XSLT, and flat-file and delimited-file formats.\nStrong analytical, debugging, and problem-solving skills.\n\nGood to have:\n\nEdifecs certification, HIPAA/EDI certification (e.g., X12 or AHIMA/HIMSS-related), or relevant healthcare IT training.\n\nResponsibilities: -\n\nDesign, develop, and maintain EDI solutions using Edifecs (XEngine, Specbuilder, Transaction Management, or equivalent) for inbound and outbound 837P, 837I, and 837D transactions.\nBuild and configure HIPAA X12 validation rules, including SNIP levels 1-7, and implement custom payer-specific business rules.\nDevelop maps and transformations between X12 and internal formats (XML, JSON, flat files, database structures).\nCreate and maintain trading partner profiles, companion guides, and partner-specific configurations.\nAnalyze 837 implementation guides (5010) and translate requirements into technical designs.\nProcess and reconcile related transactions such as 999/TA1 acknowledgments, 277CA claim acknowledgments, 835 remittances, and 276/277 claim status.","datePosted":"2026-10-28T11:25:39.599Z","dateModified":"2026-10-28T11:25:39.599Z","hiringOrganization":{"@type":"Organization","name":"Eapps Tech Dba Magicforce","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Raleigh","addressRegion":"NC","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"d0075d5b4fa43a227c155d3d"},"url":"https://jobsearcher.com/jobs/d0075d5b4fa43a227c155d3d"}}