Performs a variety of analysis and project management functions related to the Office EDI requirements, including automation of transactions, development of standards, compliance to standards, customer service, and process improvement. Responsibilities Works with department managers, users, and programmers. Identifies and defines data content and business requirements to develop, test, and implement ANSI X12N electronic data interchange technical specifications according to HIPAA & ACA guidelines. Performs analysis of X12 and application data files to expedite the testing and implementation of new transactions sets. Tests and maintains EDI healthcare and financial transaction sets to include EDI systems programming and mappings; ensuring compliance within current industry standards and regulations. Participates in industry standards committees, locally and nationally, tasked with creating, piloting, and implementing national health care recommendations/standards in adherence with new and ongoing federal and state laws, codes, policies, and guidelines. Constructs documentation and training materials to communicate technical ideas needed to introduce and explain critical healthcare industry EDI initiatives and evolving HIPAA requirements to management and non-technical company personnel. Modifies existing mappings within EDI translator and makes recommendations for changes and modifications to interface files layouts to fine tune EDI transactions. Provides technical and operational backup to EDI production staff. Assists EDI Manager in management of trading partner setup and maintenance, troubleshooting and daily production duties. Maintains compliance with federal and state guidelines, laws, and rulings for healthcare finance, and other interfacing industries. Maintains strict confidentiality. Performs other duties as assigned. Qualifications A high school diploma and five (5) years of specific experience in EDI; or an equivalent combination of education and experience. #J-18808-Ljbffr Utah Retirement Systems/PEHP
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