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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 ...

American Vision Partners

EDI Analyst

Phoenix, AZ

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

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

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 ...

Western Growers

EDI Developer

Irvine, CA · On-site

$70K - $92K/yr

By working at Western Growers Health, you will join a dedicated team of employees who care about ... SUMMARY The EDI Developer is responsible for designing, developing, and maintaining electronic data ...

MetroPlusHealth

EDI Analyst

Manhattan, NY · On-site

$85K - $95K/yr

By ensuring reliable transmission and processing of key healthcare transactions-including claims, eligibility, claim status, authorizations, and remittance-the EDI Analyst plays a critical role in ...

MetroPlusHealth

EDI Analyst

Manhattan, NY · Remote

$85K - $95K/yr

By ensuring reliable transmission and processing of key healthcare transactions--including claims, eligibility, claim status, authorizations, and remittance--the EDI Analyst plays a critical role in ...

Western Growers

Director of EDI

Irvine, CA · Remote

$102K - $145K/yr

By working at Western Growers Health, you will join a dedicated team of employees who care about ... SUMMARY The Director of Electronic Data Interchange (EDI) is responsible for overseeing and ...

Quantix

EDI Analyst

Alameda, CA

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 ...

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 ...

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How much do edi healthcare jobs pay per hour?

As of Jul 11, 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 does an EDI specialist do?

An EDI specialist manages electronic data interchange systems in healthcare, ensuring the secure and accurate exchange of medical and billing information between providers, payers, and vendors. They configure, test, and troubleshoot EDI transactions using industry standards like HIPAA, often working with EDI software and maintaining compliance with healthcare regulations.

What is an EDI in healthcare?

In healthcare, EDI (Electronic Data Interchange) refers to the electronic exchange of healthcare-related information such as claims, eligibility, and payment data between providers, payers, and other entities. Healthcare EDI specialists manage and implement these data exchanges using standardized formats like ANSI X12 and often require knowledge of healthcare regulations and EDI software tools.

What is the highest paying job in healthcare administration?

The highest paying roles in healthcare administration are often executive positions such as Chief Executive Officer (CEO), Chief Operating Officer (COO), or Chief Financial Officer (CFO), which can earn six-figure salaries. These roles typically require extensive experience, advanced degrees, and strong leadership skills within healthcare organizations or hospital systems.

What is EDI healthcare eligibility?

In healthcare EDI (Electronic Data Interchange), eligibility refers to verifying a patient's insurance coverage and benefits electronically before providing services. EDI systems enable healthcare providers to quickly confirm patient eligibility, streamline billing, and reduce claim denials using standardized transaction formats like 270/271 transactions. Accurate eligibility verification is essential for efficient claims processing and reimbursement.

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.

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.

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Edi Healthcare jobs near you
Healthcare EDI Developer

Healthcare EDI Developer

Tech Tammina LLC

Okemos, MI • On-site

Contractor

Re-posted 3 days 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.