Haystack
← Back to Jobs
Remote
Other

Facets EDI Specialist

Career Soft Solutions IncUnited States🇺🇸United StatesPosted 12 Aug 2026

Why This Role Stands Out

This remote Facets EDI Specialist role offers a fantastic opportunity to deepen your expertise in healthcare encounter processing and Edifecs within a long-term contract at a reputable company. You'll thrive here if you possess strong analytical skills and a solid understanding of healthcare claims and encounter data, enabling you to contribute significantly to data accuracy and efficiency. Apply today to leverage your skills in this dynamic and flexible position!

Quick Overview

Work Type
Remote
Level
Mid Senior

Job Description

Job Title: Facets EDI Specialist

Location: 100% Remote

Duration: Long Term Contract

Job Summary

We are seeking an experienced Edifecs Encounter Specialist with strong hands-on experience in healthcare encounters, Edifecs, and encounter data processing.

The ideal candidate will have a solid understanding of encounter lifecycle, encounter validation, error analysis, data quality, and healthcare claims/encounter processes.

The candidate should also have working knowledge of Facets navigation and be comfortable analyzing encounter-related data and resolving issues.

Experience with BI dashboards and reporting tools is a plus.

Key Responsibilities

  • Work with Edifecs Encounter Management and support healthcare encounter processing activities.
  • Analyze, validate, and troubleshoot encounter data to ensure accuracy and completeness.
  • Perform encounter data validation and reconciliation across various healthcare data sources.
  • Work with healthcare claims and encounter transactions and understand their processing lifecycle.
  • Use Edifecs tools/platforms for encounter analysis, validation, and issue resolution.
  • Perform data investigation and identify discrepancies in encounter records.
  • Understand healthcare payer processes and data requirements related to Medicaid/Medicare encounters.
  • Navigate Facets to investigate member, claim, provider, and related healthcare information.

Required Skills

  • Strong hands-on experience with Edifecs.
  • Strong experience working with Healthcare Encounters.
  • Experience analyzing encounter errors, rejects, and exceptions.
  • Facets navigation experience is highly preferred.
  • Understanding of healthcare data and member/provider/claim information.
  • Experience with data validation and reconciliation.

Preferred / Nice-to-Have Skills

  • Experience with BI dashboards / Business Intelligence reporting.
  • Experience with Power BI, Tableau, or similar BI tools.
  • SQL experience for encounter data analysis and validation.
  • Experience with Medicaid/Medicare encounter processing.
  • Knowledge of EDI transactions and healthcare data standards.

Skills

SQL
Tableau
Power BI
Reconciliation

Similar jobs

Browse related jobs

Apply now