Sift Healthcare

Senior Data Integrity Engineer – Healthcare EDI

Sift Healthcare

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Job Level

Senior

About the role

  • Serve as a primary resource for intake of new Healthcare EDI data, including but not limited to:
  • Matching claims submissions and remittances
  • Helping define a target population through exclusions in the data
  • Lead investigation of anomalies across payer, provider and clearinghouse feeds
  • Ownership of data onboarding, mapping logic, and integrity validation pipelines
  • Collaborate cross-functionally with Product, Engineering, and Client Success to troubleshoot ingestion or matching issues
  • Participate in ad-hoc data analysis (claims-based research)
  • Define and improve EDI data intake and validation frameworks
  • Assist with review and documentation of our existing code base and data flow

Requirements

  • 5+ years of experience in Healthcare EDI data
  • Proficiency working with Healthcare EDI transactions: 837 (I and P); 835
  • 5+ years of experience querying and analyzing Healthcare Data (EDI required, but preference given to candidates who also have experience with EHR/EMR data out of a provider practice management system such as Epic or Cerner)
  • Working knowledge of EDI healthcare transactions, including split transactions and claim numbering
  • Experience defining or improving EDI intake pipelines, including data validation rules, matching logic, and exception handling

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
Healthcare EDI dataEDI transactions837 transactions835 transactionsdata analysisdata validationmapping logicexception handlingqueryinganalyzing Healthcare Data
Soft skills
collaborationtroubleshootinginvestigationownershipdocumentation
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