| Experience Confidential Cloverleaf Interface Analyst Consultant TN STATE DEPARTMENT OF HEALTH - Develop and install new Trading Partners on the Cloverleaf v. 5.8 Unix Server for the Immunization data base maintained by the TN Department of Health.
- Troubleshooting production problems and fixing errors within Cloverleaf or notifying management of Trading Partner errors within their HL7 messages using TCL and Xlate tools.
- Conversion of VXU Transactions from HL7 v2.3.1 to v2.5.1.
Confidential Integration Engineer - Worked with a Medicity hosted system to help hospitals and providers reach the Meaningful Use goals set by the Federal Government and provide HER information to CORHIO.
- Provide analysis on inbound HL7 messages which included ADT, RAD, Lab, Path and Trans. Matched and verified HL7 messages and the various reports sent to hospitals and providers.
- Reviewed the various Interface specifications provided by Medicity and conducted meetings with internal staff to report and discuss issues and/or concerns with the specifications.
Confidential Technical Data Analyst - Worked on the On-Line Payment Migration team moving business customers from the Wachovia system to the Wells Fargo system.
- Analyzed customers inbound data files and wrote Mapping Rules for XML conversion clients for both check and ACH payments.
- Wrote technical specifications for pre-processing of inbound data files if required.
Confidential Programmer/Analyst - Implemented Demographic Bridges and Lab Results Interfaces working with OMS/PMS and EMR vendors such as Allscripts, NextGen, Cerner, Greenway, IDX, Lytec and Medisoft.
- Provided connectivity for bridges and interfaces between the clients/vendors servers and Spectrum's LIS system. Connectivity methods included SFTP, VPN Tunnels and Mapped drives shared folders . Responsible for setting up of Hypersend accounts, Scheduled Tasks and associated scripting to move the files.
- Worked with tables and scripting, using TCL programming, within Quovadx Cloverleaf to process the and/or create the HL7 messages for Inbound Demographic Bridge files
- Supported bridges and interfaces when problems were reported by clients.
- Familiar with diagnosis codes and ICD-9 Codes familiar with new ICD-10 code requirements as used in Lab Orders.
Confidential EDI Analyst Consultant - Implemented the 834 HIPAA 2006 Open Enrollment for EyeMed Vision Insurance Clients.
- Utilized AS400 Unix System using LEECH Package to set up and capture FTP files
- Used extensively SQL Navigator Oracle Data Base to track and proof testing of new HIPAA 834 files from clients
- Worked directly with the clients and EyeMed Account Managers to set up client profiles on the AS400 test system, MERCATOR's Trading Partners package and check test results
- Maintained daily status reports of activities during tests and movement into the production environment
- Worked closely with the data mapping group to define and test changes required by clients
Confidential EDI Coordinator - Executed analysis for Interfaces into EDI Systems working with internal and external clients, Performed complete SDLC for projects.
- Developed Production JCL and Utility Programs for Electronic Submissions and Remittance using HIPAA Standards.
- MVS JCL for large Mainframe Computer using IBM Operating System.
- Used MVS COBOL and QUIKJOB for programming interfaces.
- Supported with the following HIPAA X12 transactions: 837, 835, UB92, HL7, 270, 271, 277 and 278.
- Supported Trading Partners E-Commerce package. This package was used to verify and prep data before and after mapping.
- Analyzed rejected files and formulated corrections.
- Rejected HIPAA transaction files were analyzed using an Internet HIPAA certification site and both the implementation guide and carrier's guide to find the error. Corrections were made so that the remittance posting process could be completed.
- Performed minor Data Mapping corrections using Mercator.
QA Analyst Software - Supervised Quarterly Production Software Releases for new systems and revisions to existing systems.
- Selected critical path for the testing of the release components as it related to the various systems within the billing and remittance area.
- Gained extensive knowledge of the company's billing system and an understanding of changes that were being submitted for testing.
- Created testing scenarios and scheduling testing environments for module testing and regression testing for both Batch and CICS Systems.
- Wrote test scenarios that ensured that both modified and unmodified portions of the model worked correctly.
- Responsible for generating test data to accomplish the testing scenarios. Worked with MVS JCL, SAM files, VSAM files and DB2 database tables.
Senior Programmer Analyst - Performed Analyses and Design for major HealthCare systems.
- Using SDLC techniques, developed and programmed medium to large systems. The analyses included investigation and justification for the project as well as the creation of functional and detailed specifications. Programmed in CICS, MVS COBOL MicroFocus tools using SAM files, VSAM files and DB2 database tables. Also responsible for extensive unit testing.
- Developed the ABN Medicare data entry and record keeping system.
- Developed a system that would notify the Physician when the ordered medical tests would not support the diagnosis provided by the Physician.
Confidential Systems Analyst - Developed support systems for a purchased Insurance system PMSC .
- Wrote specifications for the interfaces or enhancements to the system and was responsible for the programming and testing of these changes
- Completed all work following SDLC guidelines.
Confidential Systems Analyst/Project Manager - Developed interfaces, which included the Functional and Technical Specifications, for the purchased MRP II system for Shop Floor Management and Inventory Control for the Columbus, GA towel plant.
- Performed the same functions for the Fieldale, VA towel plant and also developed a forecasting system for use by Production Control.
- Automated several manual processes within the Production Control Department.
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