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*EDI Systems Analyst-Healthcare* *6 months* *Location: Rancho Cucamonga, CA USC / GC/GCEAD* 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. -- Best Regards Mohit Arora mar...@apetan.com *201-620-9700* ** 152 * -- You received this message because you are subscribed to the Google Groups "Vendors" group. To unsubscribe from this group and stop receiving emails from it, send an email to vendors+unsubscr...@googlegroups.com. To post to this group, send email to vendors@googlegroups.com. Visit this group at https://groups.google.com/group/vendors. For more options, visit https://groups.google.com/d/optout.
