EDI Analyst Resume

COMPREHENSIVE EDI ANALYSIS

Versatile, results-oriented Senior Programmer Analyst with demonstrated success in application architecture, software development, and electronic data interchange (EDI) project leadership. Technical expertise in practice management and health care ANSI X12 transactions, aligning information systems with business goals.

PROFESSIONAL EXPERIENCE

Senior Programmer Analyst
EDI Project Leader
ABC Research Corporation, Miami, FL, 20xx – 20xx

Designed and implemented third-party billing applications, payment processing programs, and EDI modules for one of the country’s premier providers of single-source medical management and clinical information solutions. Established long-term relationships with clients consisting of large professional/outpatient facilities and health care systems. Identified customer needs, defined parameters, created specifications, and translated into business requirements. Customized and developed software applications, including accounts receivable, accounts payable, medical records, scheduling, inventory, and general ledger. Trained staff and ensured all applications were HIPAA compliant. Led project teams of up to ten people, facilitated meetings, and provided the highest levels of customer support.

* Automated the entire multi-level billing process, used nationally by clients processing over $1 billion in claims per year to Medicare, Blue Shield, Medicaid, and commercial carriers/clearinghouses.

* Managed numerous multi-specialty accounts, consistently billing from $150 – $200 million annually.

* Reduced the need for data entry by developing several hospital demographic/charge interfaces in HL7 format.

* Successfully transitioned from legacy to NSF and subsequently from NSF to ANSI government standard.

* Routinely achieved VIP Gold Vendor status by meeting or exceeding trading partner standards of excellence.

Senior EDI Analyst
BCD Corporation, Miami, FL, 20xx – 20xx

Examined and resolved freight claims in collaboration with contracted logistics partners. Played a key role in standardizing quality processes, which cut the turnaround time from nine months to 60 days. Gained customer satisfaction and credibility with partners. Created a new role and processes for import merchandise claim issues, which increased financial gains for the company.

* Spearheaded development of a freight management system that consolidated Target’s, Dayton’s, and Mervyns’ logistics; coordinated consolidation across 20 EDI trading partners. Generated EDI 214 documents, delivered trainings, and promoted continuous improvement through ongoing communications.

* Recognized as subject matter expert on ANSI transactions, NSF, UB92, and all proprietary formats.

* Consistently completed all projects on schedule, within budget, and according to quality standards.

Assistant Manager (EDP) | CDE Company, Miami, FL, 20xx – 20xx
Designed and developed application software for a leading corporation representing diverse business interests.

* Served as the Lead Analyst for an enterprise-level software implementation.

* Developed and implemented applications for stores, payroll, and accounting using COBOL.

EDUCATION

Bachelor of Science, Computer Science, XYZ Business School of the University of XYZ, Miami, FL

Associate of Science, Computer Data Processing, XYZ College, Miami, FL

TECHNICAL SKILLS

Proficient in MS Office, Cognos, TERM, Kermit, VB, UNIX Shell Script, Business Basic (ProvideX and Basis), Data Integration – System to System, EDI Scripting, HIPAA Compliance, Reporting Requirements, ANSI X12 Transactions, Linux/UNIX Administration, Telecommunications FTP, SFTP; Advanced Knowledge of 837P and 837I Transactions (997, TA1, 835, 276, 277, 270, 271, 864); Very familiar with ICD-9, CPT-4, HCPCS, Taxonomy, ICD-9-CM, and Revenue Codes

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