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Edi 837 Developer Jobs in Utah (NOW HIRING)

University of Utah Health

EDI Analyst I

Murray, UT · On-site

This position is open to a level I or level II EDI Analyst; the requirements for each level is listed below* As a patient-focused organization, University of Utah Health exists to enhance the health ...

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Edi 837 Developer information

What is an EDI 837 developer?

An EDI 837 Developer is a specialized IT professional who designs, develops, and maintains electronic data interchange (EDI) solutions focused on the 837 transaction set, which is used for healthcare claims processing. They work with healthcare organizations and insurance companies to ensure that medical claims are accurately formatted, transmitted, and received according to HIPAA standards. Their responsibilities often include mapping data between internal systems and EDI formats, troubleshooting transmission errors, and ensuring compliance with regulatory requirements. EDI 837 Developers play a crucial role in streamlining the claims submission process and improving data accuracy in the healthcare industry.

What are the key skills and qualifications needed to thrive as an EDI 837 developer?

To thrive as an EDI 837 Developer, you need a solid understanding of healthcare EDI standards, particularly the 837 claim format, along with experience in data mapping and integration. Familiarity with EDI translation tools (such as Gentran, Sterling Integrator, or BizTalk), HIPAA compliance, and knowledge of XML/X12 file formats are crucial, and certifications in EDI or healthcare IT can be advantageous. Attention to detail, strong analytical thinking, and effective communication help in troubleshooting issues and collaborating with stakeholders. These skills ensure accurate claims processing, regulatory compliance, and seamless data exchange between healthcare entities.

What are some common challenges faced by EDI 837 developers when integrating with healthcare payer and provider systems?

EDI 837 Developers often encounter challenges related to inconsistent data formats, varying compliance requirements among payers and providers, and handling large volumes of sensitive healthcare claims data. Integration requires careful mapping of data fields and rigorous testing to ensure HIPAA compliance and data accuracy. Close collaboration with business analysts, QA testers, and trading partners is crucial to resolve discrepancies and maintain smooth data exchanges.

What is the difference between Edi 837 Developer vs Edi 837 Analyst?

AspectEdi 837 DeveloperEdi 837 Analyst
Primary RoleDesigns, develops, and maintains EDI 837 healthcare claim transactionsAnalyzes and reviews EDI 837 transactions for accuracy and compliance
Skills & CertificationsEDI programming, healthcare claims knowledge, scripting languagesHealthcare billing, claims processing, data analysis
Work EnvironmentIT departments, healthcare organizations, EDI service providersHealthcare providers, insurance companies, billing departments

The Edi 837 Developer focuses on creating and maintaining EDI 837 transaction files, ensuring they meet technical specifications. In contrast, the Edi 837 Analyst reviews and audits these transactions for accuracy and compliance. Both roles require healthcare claims knowledge, but the Developer emphasizes technical development, while the Analyst emphasizes data analysis and validation.

What are popular job titles related to Edi 837 Developer jobs in Utah?

For Edi 837 Developer jobs in Utah, the most frequently searched job titles are:

What job categories do people searching Edi 837 Developer jobs in Utah look for?

The top searched job categories for Edi 837 Developer jobs in Utah are:

Edi 837 Developer jobs near you
Infographic showing various Edi 837 Developer job openings in Utah as of August 2026, with employment types broken down into 79% Full Time, 7% Part Time, and 14% Contract. Highlights an 80% Physical, 6% Hybrid, and 14% Remote job distribution.

EDI Analyst I

University of Utah Health

Murray, UT • On-site

Full-time

Medical, Dental

Posted 10 days ago

University Of Utah rating

7.2

Company rating: 7.2 out of 10

Based on 159 frontline employees who took The Breakroom Quiz

385th of 620 rated colleges and universities

Job description

Overview
*This position is open to a level I or level II EDI Analyst; the requirements for each level is listed below*
As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA
This position for use in Health Plans Departments only. Under the supervision of the EDI Analyst Senior, this position will provides technical support during and after the implementation of the health care Electronic Data Interchange (EDI) setups. Responds to inquiries regarding EDI issues with enrollment, claims, payments and/or clearinghouse activities. This position is not responsible for providing care to patients.
Corporate Overview: University of Utah Health is an integrated academic healthcare system with five hospitals including a level 1 trauma center, eleven community health centers, over 1,600 providers, and a health plan serving over 200,000 members. University of Utah Health is nationally ranked and recognized for our academic research, quality standards and overall patient experience. In addition to our clinical delivery system, we have a School of Medicine, School of Dentistry, College of Nursing, College of Pharmacy, and College of Health providing education and training for over 1,250 providers annually. We have over 2 million patient visits annually and research grants exceeding $350 million. University of Utah Hospitals and Clinics represents our clinical operations for the larger health system.
Responsibilities
  • Performs EDI setups of clearinghouse information and ACH payments to customers following specified procedures.
  • Maintains procedures as needed with appropriate updates.
  • Performs setups of data exchanges between entities for health plans..
  • Validates data locations from customer data feeds.
  • Maps data feeds into Health Plan formats.
  • Where appropriate, loads, monitors and tests incoming and outgoing EDI transactions in a timely manner.
  • Ensures the accuracy of data, analyzes conflicting data, works with partner entities to verify and resolve data errors.
  • Communicate in a professional manner (verbal and written) with customers and team members when there are problems or changes required.
  • Provides documents to providers and outside agencies as required.
  • Assist with projects as required.
Knowledge / Skills / Abilities
  • Ability to use office desktop tools effectively (e.g. word processing, email, presentation software and spreadsheets).
  • Demonstrated ability to utilize spreadsheets to find trends or problems with data sets.
  • Knowledge of health insurance industry data and standards.
  • Knowledge of processes and procedures of various health plan claim flows from intake to provider payment.
  • Demonstrated customer relations and effective communication skills.
  • Ability to work well alone or in a team setting.
  • Ability to perform the essential functions as outlined above.

Qualifications
Qualifications
Required for Level 1
  • Associate's degree, or equivalent experience in an IT setting.
  • Proficient in Microsoft business applications.
  • Experience in collecting, organizing, analyzing, and presenting data.
Required for Level 2
  • Associate's degree, or equivalent experience in an IT setting.
  • One year of experience with Health Plan EDI processes.
  • Proficient in Microsoft business applications.
  • Experience in collecting, organizing, analyzing, and presenting data.
  • Solid understanding of EDI ANSI X12 transactions.

Qualifications (Preferred)
Preferred
  • Experience with Epic Tapestry claims processing system.
  • Demonstrated attention to detail and process flows
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
  • This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

We are University of Utah Health. Employment.utah.edu
Immediately Hiring
Physical Requirements
Color Determination, Listening, Manual Dexterity, Near Vision, Sitting, Speaking

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About University of Utah

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The University of Utah is the state’s flagship institution of higher education, with 18 schools and colleges, more than 100 undergraduate majors and graduate programs, and an enrollment of more than 38,000 students. It is a member of the Association of American Universities—an invitation-only, prestigious group of 71 leading research institutions. The U is advancing a new national model for higher education that delivers societal impact through education, research, health care, and community service, while making social, economic, and cultural contributions that improve lives across Utah and around the world.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Salt Lake City, UT, US

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