Top 14 Sql conversion programmer Jobs in Lexington, Ky

Healthcare EDI (X12 837/835) Developer
PlanStreet —Lexington, KY
- Remote
- 5 years
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Healthcare EDI (X12 837/835) Developer

PlanStreet
Lexington, KY

Apply Now

Job Details

Qualifications

Index optimization
SFTP
X12 EDI
Systems integration
Medical claims processing
EDI
C#
Regulatory compliance in claims processing
System performance optimization
HIPAA
Stored procedures
SQL
Health information interoperability
Healthcare IT security systems
Integration Platforms (Enterprise solutions)
Health information regulatory compliance
Payment posting in medical billing systems
Azure Logic Apps
Developing and maintaining backend systems
Access control management
Data encryption implementation
Clinical confidentiality policies
Real-time data processing implementation
System tuning
Data performance optimization
Batch data processing

Full Job Description

Healthcare EDI (X12 837/835) Developer

PlanStreet Inc. - Lexington, Kentucky (Remote)

We are seeking an experienced Backend Developer with strong expertise in healthcare EDI transactions, specifically X12 837 (Claims) and X12 835 (Remittance Advice). The ideal candidate will design, develop, and maintain backend systems for processing high-volume healthcare claims and remittances using C#, .NET, and SQL Server, ensuring compliance with HIPAA and industry standards.

Responsibilities:

EDI & Healthcare Transactions

Design, implement, and maintain processing of X12 EDI 837 Professional, Institutional, and Dental claims.
Implement parsing, validation, transformation, and posting of EDI 835 remittance advice.
Handle claim lifecycle workflows including submission, acknowledgments (999/277CA), adjudication, and payment posting.
Ensure compliance with HIPAA, X12 standards, and payer-specific implementation guides.
Support error handling, rejection management, and reconciliation of claims and remittances.

Backend Development

Develop and maintain backend services using C# and .NET / .NET Core.
Design efficient and scalable SQL Server schemas, stored procedures, and queries.
Optimize batch processing for high-volume EDI files.
Build APIs and background services for EDI ingestion and outbound processing.
Implement logging, monitoring, and audit trails for EDI transactions.

Integration & Data Processing

Integrate with clearinghouses, payers, and external healthcare systems.
Process inbound and outbound files via SFTP, APIs, or EDI gateways.
Implement data mapping between EDI segments and internal application data models.
Support file batching, splitting, merging, and scheduling.

Quality, Security & Compliance

Perform unit, integration, and regression testing of EDI workflows.
Ensure PHI security, encryption, and access control.
Support compliance audits and production issue resolution.
Maintain technical documentation for EDI processes and system architecture.

Requirements:

5+ years of backend development experience using C# and SQL Server.
Strong hands-on experience with X12 EDI standards, specifically:
- 837 (Professional, Institutional, Dental).
- 835 (Remittance Advice).
Solid understanding of healthcare revenue cycle management (RCM).
Experience with HIPAA compliance and healthcare data security.
Proficiency in SQL Server performance tuning, indexing, and stored procedures.
Experience processing batch files and large datasets.
Familiarity with SFTP, EDI translators, and clearinghouse integrations.

Nice to Have:

Experience with 999, 277CA, 270/271, and 276/277 EDI transactions.
Knowledge of payer-specific EDI rules.
Experience with Azure Integration Account and Logic App X12 Connector.
Familiarity with microservices architecture.
Experience with EDI validation tools or translators.
Healthcare domain certifications or prior payer/clearinghouse experience.

Soft Skills:

Experience with 999, 277CA, 270/271, and 276/277 EDI transactions.
Knowledge of payer-specific EDI rules.
Experience with Azure Integration Account and Logic App X12 Connector.
Familiarity with microservices architecture.
Experience with EDI validation tools or translators.
Healthcare domain certifications or prior payer/clearinghouse experience.

Apply Now

Refine Your Search

sql conversion programmer jobs in lexington, ky

Healthcare EDI (X12 837/835) Developer

Senior Analyst, Programmer, Enterprise Applications

Back-End Developer

Front-End Developer

Senior Machine Learning Engineer

Sr Risk Systems Developer

Senior Software Engineer

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I want to receive the latest job alert for sql conversion programmer in lexington, ky

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Healthcare EDI (X12 837/835) Developer

PlanStreet Inc. - Lexington, Kentucky (Remote)

Responsibilities:

EDI & Healthcare Transactions

Backend Development

Integration & Data Processing

Quality, Security & Compliance

Requirements:

Nice to Have:

Soft Skills:

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