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Edi 837 Jobs (NOW HIRING)

MetroPlusHealth

EDI Database Programmer

Manhattan, NY · On-site

$120K - $130K/yr

Strong knowledge of EDI X12 standards, particularly transactions 837, 834, 277CA, and 999. * Prior experience submitting encounters to NYSDOH is preferred but not required. * Experience with BI ...

Aither Health

EDI Analyst

Amherst, NY · On-site

$60K - $80K/yr

Job Title: EDI Analyst Exempt Purpose of the Job: The role of the EDI Analyst is to work with ... 834, 835, 837 and 27X • Intermediate knowledge of data mapping techniques and data analysis ...

MetroPlusHealth

EDI Database Programmer

Manhattan, NY · Hybrid

$120K - $130K/yr

Strong knowledge of EDI X12 standards, particularly transactions 837, 834, 277CA, and 999. * Prior experience submitting encounters to NYSDOH is preferred but not required. * Experience with BI ...

Kavaliro

EDI Developer

Orlando, FL · On-site

Design and support SFTP based inbound/outbound integrations for large flat files (837/835 ... EDI/X12 processing using EdiFabric or equivalent EDI toolkits * X12 transaction pipelines (837, 835 ...

Navtech, Inc.

EDI Tester

Lake Saint Louis, MO · On-site

Job Title: EDI Tester Location: St Louis, MO (Remote till Covid-19) Duration: Longterm Contract ... SME with End to END Process of 834 or 837 * Experience with end to end testing * Very strong in SQL ...

Allcare Health

EDI Developer

Grants Pass, OR · Remote

$75K - $100K/yr

Routinely working with ANSI X12 Health Plan EDI files (834, 835, 837, etc.) containing eligibility, remittance, and claims. * Developing and maintaining the systems that will move confidential data ...

Shakti Solutions

EDI Tester

Memphis, TN · On-site

Over 8 Years of experience as EDI Tester. Good experience in 837 and/or NCPDP transaction knowledge. Good experience in troubleshoot parallel testing issues. Good Communication skills. Thanks and ...

Shakti Solutions

EDI Tester

Memphis, TN · On-site

Over 10+ Years of IT Experience. Over 5+ Years experience as a EDI Tester. Must have exp with IBM ITX. Good exp with 837 and/or NCPDP transaction knowledge. Able to troubleshoot parallel testing ...

Allied Benefit Systems

EDI Specialist

Chicago, IL · Remote

$20 - $21/hr

Process 837 files resulting in conversions of .txt files. * Prep and transfer files to be loaded ... Train EDI Coordinators on various workflow to include new or updated procedures. * Interprets and ...

Apexon

EDI Test Automation Engineer

Nashville, TN · On-site

$44.50 - $58.75/hr

Strong hands-on experience with EDI Transactions : 837, 820, 835, 270/271, 277U, NCPDP * Expertise in ITX , Edifecs , and HIPAA Compliance * Practical experience in Python , C# , and VBScript for ...

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Edi 837 information

See salary details

$38.5K

$85.1K

$135K

How much do edi 837 jobs pay per year?

As of Jul 13, 2026, the average yearly pay for edi 837 in the United States is $85,086.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $100,500.00 per year, depending on experience, location, and employer.

What are some common challenges faced by professionals working with EDI 837 transactions, and how can they be addressed?

Professionals working with EDI 837 transactions often encounter challenges such as ensuring data accuracy, managing compliance with HIPAA regulations, and troubleshooting rejected claims due to syntax or mapping errors. Staying updated with payer-specific requirements and understanding the nuances of healthcare claim data are crucial to minimize errors. Collaborating closely with IT, billing, and compliance teams can help resolve issues quickly and maintain smooth claim submissions. Regular training and leveraging robust EDI validation tools are also key strategies for overcoming these challenges.

What is an EDI 837?

An EDI 837 is an electronic data interchange (EDI) transaction set used by healthcare providers to submit healthcare claim information to payers, such as insurance companies. The 837 form replaces traditional paper claim forms and streamlines the process of billing for medical services. It ensures that claims are transmitted securely, accurately, and in a standardized format, which helps reduce errors and speeds up reimbursement. There are different types of 837 transactions, including those for institutional, professional, and dental claims.

What are the key skills and qualifications needed to thrive as an EDI 837 Specialist, and why are they important?

To thrive as an EDI 837 Specialist, you need a strong understanding of healthcare claims processing, EDI transaction sets (especially 837), and knowledge of HIPAA regulations, often supported by experience in healthcare IT or revenue cycle management. Familiarity with EDI translation software, clearinghouse platforms, and mapping tools like Sterling B2B Integrator or Edifecs is typically required. Strong analytical skills, attention to detail, and effective communication are essential soft skills for troubleshooting issues and collaborating with providers and payers. These skills ensure accurate and compliant transmission of healthcare claim data, minimizing errors and optimizing reimbursement cycles.

What is the difference between Edi 837 vs Medical Billing Specialist?

AspectEdi 837Medical Billing Specialist
Primary RoleElectronic submission of healthcare claimsProcessing and managing healthcare billing and claims
Required SkillsKnowledge of EDI standards, coding, and claim submissionBilling procedures, coding, insurance verification
Work EnvironmentHealthcare providers, insurance companies, billing servicesMedical offices, billing companies, healthcare facilities
CertificationsOften requires knowledge of EDI standards, coding certificationsMedical billing certifications (e.g., CPC, CBCS)

While Edi 837 focuses on the electronic transmission of healthcare claims using specific standards, the Medical Billing Specialist handles the overall billing process, including claim submission, follow-up, and insurance communication. Both roles are essential in healthcare revenue cycle management but differ in scope and technical focus.

More about Edi 837 jobs
What cities are hiring for Edi 837 jobs? Cities with the most Edi 837 job openings:
What states have the most Edi 837 jobs? States with the most job openings for Edi 837 jobs include:
What job categories do people searching Edi 837 jobs look for? The top searched job categories for Edi 837 jobs are:
Edi 837 jobs near you
Infographic showing various Edi 837 job openings in the United States as of July 2026, with employment types broken down into 4% As Needed, 77% Full Time, 14% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $85,086 per year, or $40.9 per hour.
EDI Database Programmer

EDI Database Programmer

MetroPlusHealth

Manhattan, NY • On-site

$120K - $130K/yr

Full-time

Re-posted 2 days ago

MetroPlusHealth rating

7.8

Company rating: 7.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

169th of 281 rated insurance

Job description

Position Overview
The EDI Database Programmer position in the Analytics and Reporting Department is responsible for managing data error reconciliation and submission to the New York State Department of Health (NYSDOH), Centers for Medicare and Medicaid Services (CMS), and other regulatory entities, as required. This role includes troubleshooting Electronic Data Interchange (EDI) mapping issues and encountering data reporting errors; monitoring encounter data quality reports; and ensuring adherence to EDI standards. Additional responsibilities include writing complex SQL queries and stored procedures; developing and maintaining SQL Server Integration Services (SSIS) jobs for EDI file submissions; troubleshooting EDI error records; and maintaining comprehensive EDI documentation, including process flows. The role also involves collaborating cross-functionally to identify and resolve EDI issues, as well as preparing test data, conditions, and expected outcomes to validate new EDI updates and logic related to Social Care Network claims, Health Recovery Plan (HRP) transitions, retroactive rate changes, State Directed Payments, and risk adjustment encounter submissions.
The successful candidate will possess strong SQL programming and EDI analytical skills, excellent communication abilities, and healthcare experience, including knowledge of membership, provider, and claims data.
Scope of Role & Responsibilities
  • Monitor encounter fallouts and reconcile and re-submit fallout encounter data files to NYSDOH OSDS and CMS.
  • Collaborate with vendors/end users on correcting EDI error transactions and resubmissions to NYSDOH and CMS for Retro Rate adjustments, State Directed payments and Risk adjustments.
  • Automate manual processes for encounter data error re-submissions.
  • Support compliance and regulatory for any inquiry on encounter data processes.
  • Support MMCOR reporting and other regulatory reporting.
  • Create KPI reports on encounter reconciliation reporting.
  • Create SQL stored procedures, SSIS packages, flow diagrams and document the process for Encounter Data Reporting.
  • Develop and test EDI mapping for encounter submissions.
  • Troubleshoot EDI errors and keep track of all the resubmissions.

Required Education, Training & Professional Experience
  • Bachelor's degree required in Information Systems, Computer Science, Database Management, or a related field; or an equivalent combination of education and experience.
  • Minimum of 7 years of experience in SQL Server database development, including stored procedures, functions, views, SSIS, SSRS, X12 EDI mapping and development, and troubleshooting EDI errors.
  • Minimum of 4 years of experience working with complex healthcare data, including claims, enrollment, and provider data.
  • Strong knowledge of EDI X12 standards, particularly transactions 837, 834, 277CA, and 999.
  • Prior experience submitting encounters to NYSDOH is preferred but not required.
  • Experience with BI reporting tools such as BusinessObjects, Tableau, or Power BI.
  • Working knowledge of Visual Studio, NET development, XML, BizTalk, and Health Rules Payor.

Professional Competencies
  • Integrity and Trust
  • Collaboration and Time management skills
  • Functional/Technical skills
  • Written/Oral Communication
  • Teamwork
  • Excellent analytical and problem-solving skills.
  • Ability to work effectively in a team environment and adapt quickly to changing projects and priorities.

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