Coordinates Information Technology tasks of all team members. Analyzes and responds to user requested new development and system modifications. Designs technical solutions to information problems. Performs technical tasks related to project completion, including problem analysis, program development and testing, documentation, and implementation.
Functions as the primary I.T. user contact for GHS departments or divisions. Performs project management and coordination functions.
Works under the supervision of the Director, Program Director or management designate.
SPECIFIC POSITION DUTIES:
Responsible for administering and managing all aspects of HIPAA EDI transaction processing including implementations, upgrades, and maintenance for new and existing trading partners.
Provide assistance and expertise in troubleshooting and resolving EDI transmission and processing issues by working with departmental staff, providers, clearinghouses, and other trading partners.
Responsible for being the Subject Matter Expert regarding EDI transactions for the organization. This includes understanding how EDI transactions interact with other organizational business processes.
Provide periodic on-call support for 24x7x365 processing environments.
Ability to perform project management tasks including estimation, planning, and reporting within an IT governance framework.
Ability to research, recommend, and implement new software applications or processes to increase efficiencies or to support new/expanded functions.
Keep abreast of industry trends, compliance, regulatory and security changes as it relates to Healthcare EDI.
Produce and develop periodic EDI statistical reports.
Develop and maintain an EDI roadmap that addresses areas like; growth, expansion, enhanced functionality, security, and regulatory compliance.
Assist with disaster recovery preparation and testing of applicable applications and technology.
Work with management on budgets for area of responsibility.
Ability to support the entire System Development Life Cycle.
Perform other duties as required or assigned.
Experience using FHG for Trading Partner Management, XML, and XSLT. Need to able to map to Facets Keywords.
Experience in HIPAA logical mapping and CAQH CORE Operating rules implementation.
Extensive experience with healthcare related EDI transactions sets – 837D, 837P, 837I, 835, 834, 277ca, 999, TA1, 270/271, 276/277, 278, 275 and HIPAA code sets - Healthcare Provider Taxonomy codes, CPT/HCPCS codes, HIPPS codes, ABC codes and ICD-10-CM, ICD-10-PCS.
Effective identification of EDI related business problems, assessment of proposed solutions to those problems, and understanding the needs of business partners.
COMPETENCIES AND SKILLS:
Excellent technical and analytical skills, including strong problem solving and technical troubleshooting skills.
Thorough understanding and proficiency working with 4010 and 5010 HIPAA Transaction code sets.
Demonstrated record of effective communication and working relationships with providers, clearinghouses, trading partners, and co-workers.
Knowledge of regulatory, security, and compliance standards as part of HIPPA, HITECH Act and Administrative Simplification section of Patient Protection and Affordable Care Act (PPACA).
Experience working with and supporting EDI validation and translation software applications.
Experience in designing and implementing end to end EDI solutions.
Demonstrated ability to provide leadership to other technical personnel.
Demonstrated ability to organize and prioritize work, meet deadlines, and work independently as well as in a Team environment.
Strong and effective written and verbal communication skills.
EDUCATION AND EXPERIENCE:
Associate's degree or Bachelor’s Degree in Computer Science, Information Technology, or a related field required; or technical diploma / technical certification in a field related to the position required. Minimum of nine years of full-time experience in a related information technology/application/user support role required.
In lieu of degree or certification, minimum of twelve years of full-time experience in a related information technology/application/user support role required.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in an office environment.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. * Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.