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Edi Healthcare Jobs (NOW HIRING)

Tech Tammina LLC

Healthcare EDI Developer

Okemos, MI · On-site

Role: Healthcare EDI (837/Encounter) Developer Location: Okemos, MI (Hybrid, 3 days a week onsite) Duration: Long term Description: We are expanding our Encounter Development team and seeking a ...

Tech Tammina

Healthcare EDI Developer

Okemos, MI · On-site

Role: Healthcare EDI (837/Encounter) Developer Location: Okemos, MI (Hybrid, 3 days a week onsite) Duration: Long term Description: We are expanding our Encounter Development team and seeking a ...

System One

Healthcare EDI Claims Analyst

Columbia, MD · On-site

$52.96/hr

Healthcare EDI Claims Analyst Location: Hybrid - Columbia/Baltimore, MD (2-3 days onsite per month) Duration: 12-Month Contract-to-Hire Pay Rate: $52.96/hour W2 (No PTO) About the Role We are seeking ...

American Vision Partners

EDI Analyst

Phoenix, AZ · Remote

The EDI Specialist works with claims and payment teams on the HIPAA 837 -Health Care Claim and 835-Health Care Claim Payment/Advice. The EDI Specialist will work collaboratively with information ...

American Vision Partners

EDI Analyst

Phoenix, AZ · Remote

The EDI Specialist works with claims and payment teams on the HIPAA 837 -Health Care Claim and 835-Health Care Claim Payment/Advice. The EDI Specialist will work collaboratively with information ...

American Vision Partners

EDI Analyst

Phoenix, AZ · Remote

The EDI Specialist works with claims and payment teams on the HIPAA 837 -Health Care Claim and 835-Health Care Claim Payment/Advice. The EDI Specialist will work collaboratively with information ...

American Vision Partners

EDI Analyst

Phoenix, AZ · On-site

The EDI Specialist works with claims and payment teams on the HIPAA 837 -Health Care Claim and 835-Health Care Claim Payment/Advice. The EDI Specialist will work collaboratively with information ...

Zelis

EDI Analyst

Saint Petersburg, FL

A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers ... EDI Analyst II Summary: As part of our continued growth, Zelis is seeking an experienced EDI ...

Zelis

EDI Analyst

Saint Louis, MO · On-site

A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers ... EDI Analyst II Summary: As part of our continued growth, Zelis is seeking an experienced EDI ...

Zelis

EDI Analyst

Saint Louis, MO

A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers ... EDI Analyst II Summary: As part of our continued growth, Zelis is seeking an experienced EDI ...

Innosoul inc

EDI Tester

Raleigh, NC · On-site

Required 5 Years Strong understanding of healthcare claims processing Claims, Provider, Eligibility ... Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0 Develop and execute test ...

STI

EDI Specialist

Raleigh, NC · On-site

... healthcare electronic data interchange applications • Responds to inquiries regarding EDI issues with encounter claims and trading partner activities • Management of catalog of EDI document types ...

Quantix

EDI Analyst

Alameda, CA · On-site

Qualifications Required Skills: 1) Healthcare EDI, (not commercial ecommerce EDI i.e. EDI purchase orders, bill of lading, etc) 2) Knowledgeable in X12 837 and NCPDP formats Additional Information ...

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How much do edi healthcare jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for edi healthcare in the United States is $56.57, according to ZipRecruiter salary data. Most workers in this role earn between $48.08 and $65.38 per hour, depending on experience, location, and employer.

What is an EDI in healthcare?

In healthcare, EDI (Electronic Data Interchange) refers to the electronic exchange of healthcare-related data such as claims, eligibility, and payment information between providers, payers, and clearinghouses. Healthcare EDI specialists ensure accurate and secure data transmission using standardized formats like ANSI X12 and often work with EDI software and compliance requirements.

What does a healthcare EDI specialist do?

A healthcare EDI specialist manages electronic data interchange processes to ensure accurate and secure transmission of healthcare claims, payments, and patient information between providers, payers, and clearinghouses. They often work with EDI standards like HIPAA 837, 835, and 270/271, and require knowledge of healthcare billing systems and compliance regulations.

What is an EDI Healthcare job?

An EDI Healthcare job involves managing electronic data interchange (EDI) systems to securely exchange healthcare information between providers, insurers, and other stakeholders. Professionals in this role ensure compliance with HIPAA regulations, troubleshoot EDI transactions, and optimize data workflows for billing, claims processing, and patient records. Strong knowledge of healthcare EDI standards, such as X12 and HIPAA-compliant transactions, is essential.

How to get a healthcare EDI job?

To get a healthcare EDI (Electronic Data Interchange) job, candidates should have a strong understanding of healthcare data standards like HIPAA, proficiency with EDI software and tools, and relevant certifications such as Certified EDI Professional (CEdI). Gaining experience through internships or entry-level positions in healthcare IT can also improve job prospects, and familiarity with healthcare claims processing and coding is beneficial.

What are the typical daily responsibilities for someone working in an EDI Healthcare role?

On a daily basis, EDI Healthcare professionals are responsible for managing and troubleshooting electronic data interchange transactions between healthcare providers, payers, and clearinghouses. They monitor data file transmissions, resolve errors or rejections, and ensure compliance with regulatory standards like HIPAA. Additionally, they often collaborate with IT teams, business analysts, and healthcare staff to implement EDI solutions or updates. This role requires a proactive approach to identifying process improvements and maintaining the integrity and security of sensitive healthcare data.

What are the key skills and qualifications needed to thrive in the EDI Healthcare position, and why are they important?

To excel in an EDI Healthcare role, you need a solid understanding of healthcare data exchange, HIPAA regulations, and experience with EDI transaction sets such as 837, 835, and 270/271, often supported by a degree in healthcare administration, information technology, or a related field. Familiarity with EDI translation software, clearinghouse platforms, and relevant certifications like Certified Electronic Health Records Specialist (CEHRS) are highly valued. Strong analytical thinking, attention to detail, and effective communication skills help EDI professionals collaborate with both technical teams and healthcare providers. These competencies are crucial for ensuring seamless, secure, and compliant data exchange in the healthcare ecosystem.

More about Edi Healthcare jobs
What cities are hiring for Edi Healthcare jobs? Cities with the most Edi Healthcare job openings:
What are the most commonly searched types of Edi Healthcare jobs? The most popular types of Edi Healthcare jobs are:
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Edi Healthcare jobs near you
Infographic showing various Edi Healthcare job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 67% Full Time, 15% Part Time, and 16% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $117,659 per year, or $56.6 per hour.

Healthcare EDI Developer

Tech Tammina LLC

Okemos, MI • On-site

Contractor

Re-posted 11 hours ago

Job description

Role: Healthcare EDI (837/Encounter) Developer

Location: Okemos, MI (Hybrid, 3 days a week onsite)

Duration: Long term

Description:

We are expanding our Encounter Development team and seeking a Healthcare EDI Developer to support enterprise encounter reporting through timely, accurate generation and submission of 837D X12 encounter files.

Job Responsibilities

  • Execute recurring operational tasks to generate encounter data files; monitor daily production jobs, troubleshoot issues, and drive error investigation through resolution.
  • Design, build, and maintain X12 EDI 837 encounter processing workflows.
  • Ensure solutions comply with HIPAA and X12 standards, including state- and client-specific implementation guides.
  • Perform unit, integration, and regression testing for EDI processes and related data flows.
  • Interpret and reconcile 999, 277, 835, and custom state/client response files associated with encounter submissions.
  • Develop and maintain data mappings between internal application data models and EDI segments/loops.
  • Implement corrective actions to remediate defects and reduce or eliminate repeat issues.
  • Partner with external clients and internal operational teams on new client implementations and changes to existing submissions.
  • Create and execute EDI test plans and provide clear, timely status updates to internal stakeholders and clients.

Experience and Qualifications

  • 3+ years of relevant experience in the healthcare industry, Dental preferred
  • 3+ years of experience in a data analyst role, preferably supporting healthcare EDI.
  • 1+ years of experience developing post-adjudication X12 837 files (required).
  • 1+ years of SQL experience.
  • Working knowledge of HIPAA X12 standards, specifically the 837 claim/encounter transaction.
  • Strong attention to detail with the ability to analyze client needs and accurately document processes.
  • Excellent analytical, troubleshooting, and communication skills.
  • Experience with IBM Sterling B2B Integrator is preferred.