*Hi All,*

*Please check and let me know*

*Kindly mail me at nik...@apetan.com <nik...@apetan.com>*

*EDI Systems Analyst-Healthcare*

*6 Contract *


*Location:  Rancho Cucamonga, CA USC and GC only* !!!


 ü  *Candidates MUST have California Healthcare experience or knowledge of
the following:  CSSC (CMS Portal) and DHCS rules and regulations.*

ü  *MUST HAVE EXTENSIVE/EXPERT KNOWLEDGE IN 837*

ü  *MUST UNDERSTAND SEGMENTS, LOOPS AND KNOW HOW TO USE COMPANION GUIDES.*



All Candiates must provide answers to the questions below as part of the
application process.



·         How many years of experience do you have with Medicare-Medicaid
Encounter Data System?

·         Do you have experience with Cal MediConnect? Explain.

·         Please explain your knowledge of the following:  999, 277CA,
837I, 837P, EVR and MAO's

·         What is your knowledge of CSSC?

·         Explain what a segment and loop is.

·         Do you have direct hands on experience with 837?  How many years
and where did you gain your experience?



*Job description:*

·         Coordinate all department functions as requested.

·         Requirements Gathering and Analysis.

·         Documentation of internally created software and act as liaison
between the department and other IEHP departments.

·         Develop department reporting needs.

·         The Analyst will assist with implementing controls to measure and
reconcile the quality and quantity of our inbound as well as outbound data.

·         Analysis and QA of all additional X12 transactions sets.

·         Produce reports to measure trends and compliance.

·         Assist with oversight and scoping of projects.

·         Ability to understand and enhance our current systems.

·         Ability to develop new solutions to work with our current systems
and environment.

·         Any other duties as required by the EDI Manager to ensure Health
Plan operations are successful.

·         Ensure the privacy and security of PHI (Protected Health
Information) as outlined in IEHP's policies and procedures relating to
HIPAA compliance.

-- 

Thanks

Nikhil Prasad

nik...@apetan.com

201-620-9700*130

Apetan Consulting LLC

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