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VirtualVocations

Senior EDI Business Analyst at VirtualVocations

VirtualVocations Columbus, Ohio

Job Description

A company is looking for a Senior EDI Business Analyst to manage healthcare encounter data submissions and ensure compliance with regulatory standards.Key ResponsibilitiesOwn end-to-end encounter data management processes to ensure compliance with CMS and state Medicaid guidelinesCompile, analyze, and validate encounter submissions for accuracy and completenessSupport audit and regulatory reporting initiatives by developing and maintaining documentation and validation frameworksRequired QualificationsBachelor's degree or equivalent experience, with 4+ years in healthcare technology or related fields focused on regulatory data exchangeHands-on experience with HIPAA X12 837P Medicaid submissions and regulatory reportingUnderstanding of payer operations, claims processing, and encounter lifecycle managementProven ability to manage multiple projects independently and prioritize effectivelyHighly self-sufficient and detail-oriented, comfortable in a fast-paced environment

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