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aadilsahi

Adil Javed

@aadilsahi

Healthcare EDI and RCM Automation Developer with FHIR Expertise

Pakistan
English
About me
Healthcare EDI and RCM Automation Developer with FHIR expertise and 14+ years delivering production EDI, API and clearinghouse solutions for providers, billing teams and healthtech platforms • EDI parsing, validation, and debugging • CMS-1500 to EDI mapping and crosswalks • Claims 837P 837I 837D, 835, TA1 997 999 277CA • Eligibility 270 271, Claim Attachment 275, Claim Status 276 277, Referrals 278 • Realtime and batch clearinghouse and multi-payer integrations • Claim scrubber and automation • Workers comp EDI, FHIR and custom APIs I build, improve and fix EDI workflows and production systems... Read more

Skills

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aadilsahi
Adil Javed
Offline • 
Average response time: 3 hours

See my services

Bug Fixes
I will provide healthcare edi support, debugging, and issue fixing
From$40 / projectMore details
API & Integrations
I will convert and map healthcare edi files across any data format
From$120 / projectMore details

Work experience

Freelance

Healthcare EDI and RCM Automation Developer

Freelance • Freelance

Feb 2022 - Present • 4 yrs 3 mos

Delivered production EDI, clearinghouse and RCM automation solutions across live payer and billing environments. • EDI parsing, validation, mapping, and CMS-1500 crosswalks • Claims 837P 837I 837D, ERA 835, Eligibility 270-271, Claim Status 276-277, Claim Attachments 275 • Acknowledgements TA1 997 999 277CA • Integrations: Availity, Optum, DentalXchange, Jopari, Data Dimensions, Office Ally, Waystar • Payer networks: Medicare CMS, State Medicaid, BCBS, United Healthcare, and more. • Claim scrubber, denial-prevention, and workers' compensation EDI • FHIR integrations, REST APIs, and system-level debugging and fixes

Senior EDI and RCM Automation Developer

Healthcare IT Consulting • Full-time

Oct 2011 - Jun 2024 • 12 yrs 8 mos

• Designed and built a clearinghouse platform with batch and real-time EDI integrations across payer and clearinghouse networks • Developed a rule-based claim scrubber with validation and denial-prevention logic to improve clean-claim rates • Built end-to-end RCM automation, including eligibility verification, referrals, claim submission, ERA posting, and patient statements