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Hipaa Edi 837 Jobs (NOW HIRING)

MetroPlusHealth

EDI Analyst

Manhattan, NY · Remote

$85K - $95K/yr

Responsible for configuring, testing, maintaining, enhancing, and supporting HIPAA EDI (837, 835, 834, 270, 271, 276, 277, 278) transactions and applications * Implement new and update existing ...

MetroPlusHealth

EDI Analyst

Manhattan, NY · On-site

$85K - $95K/yr

Responsible for configuring, testing, maintaining, enhancing, and supporting HIPAA EDI (837, 835, 834, 270, 271, 276, 277, 278) transactions and applications * Implement new and update existing ...

Tech Tammina LLC

Healthcare EDI Developer

Okemos, MI · On-site

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 ...

Massgeneralbrigham

Senior EDI Developer

Somerville, MA · On-site

... 837, and 999. The idea candidate has a strong understanding of HIPAA EDI implementation and companion guides used across the healthcare industry to ensure compliant and reliable data exchange. The ...

Autonomize Inc

Solutions Architect

Austin, TX · On-site

$62.50 - $82.25/hr

Strong understanding of healthcare data formats and compliance (HIPAA, EDI 837/835, FHIR) * Solid experience designing and integrating APIs and data pipelines in cloud-native environments (preferably ...

InterSources Inc

Lead EDI Tester

Raleigh, NC · On-site

... 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0 • High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions • Strong understanding of ...

STI

EDI Specialist

Raleigh, NC · On-site

... HIPAA X12 EDI Transactions. • Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0 • Develop and execute test scripts related to X12 Transmission Conducts QA and Testing on ...

InterSources Inc

IT Lead EDI Specialist

Raleigh, NC · On-site

Responsibilities : • High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions. • Expert in EDI mapping for 837, 277CA, 834, 835, TA1 ...

MDAEdge

Senior Data Engineer

Washington, DC · On-site

$119K - $162K/yr

... per HIPAA, CMS MARS-E, and NIST standards. • Develop automated data validation frameworks to ... MMIS, EDI 837/835, claims processing; 3+ years) • SQL Server including SSIS, SSAS, SSRS while ...

CYNET SYSTEMS

Business Systems Analyst

Woodland Hills, CA · On-site

$35 - $40/hr

HIPAA / EDI (834, 835, 837 transactions). * Exposure to cloud platforms (AWS, Azure, Snowflake). * Experience with data pipeline orchestration and APIs. * Familiarity with data governance and data ...

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Hipaa Edi 837 information

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$38.5K

$85.1K

$135K

How much do hipaa edi 837 jobs pay per year?

As of Sep 8, 2026, the average yearly pay for hipaa 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 is HIPAA EDI 837?

HIPAA EDI 837 is a standardized electronic format used in healthcare for submitting claims to insurance payers. The 837 transaction set is part of the Electronic Data Interchange (EDI) standards mandated by HIPAA (Health Insurance Portability and Accountability Act) for the electronic transmission of healthcare claim information. There are several versions of the 837 transaction, including 837P (Professional), 837I (Institutional), and 837D (Dental), each tailored to specific claim types. Using EDI 837 helps streamline claims processing, reduce paperwork, and ensure compliance with federal regulations.

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

Professionals handling HIPAA EDI 837 transactions often encounter challenges such as ensuring data accuracy, maintaining compliance with evolving regulations, and resolving claim rejections due to formatting or validation errors. To address these, it's important to stay updated on the latest EDI standards, regularly participate in training, and collaborate closely with IT and compliance teams. Additionally, leveraging robust EDI software and performing routine audits can help prevent and quickly resolve common issues, ensuring smooth claims processing.

What are the key skills and qualifications needed to thrive as a HIPAA EDI 837 specialist, and why are they important?

To thrive as a HIPAA EDI 837 Specialist, you need a deep understanding of healthcare EDI transaction sets, especially the 837 claims format, knowledge of HIPAA regulations, and experience in healthcare billing or IT. Familiarity with EDI mapping tools, clearinghouse systems, and relevant certifications like Certified Professional Biller (CPB) or Certified Electronic Health Records Specialist (CEHRS) is often required. Strong analytical thinking, attention to detail, and effective communication are vital for troubleshooting issues and collaborating with technical and non-technical teams. These competencies ensure accurate, compliant claims processing and seamless data exchange in the healthcare revenue cycle.

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

AspectHipaa Edi 837Medical Billing Specialist
Primary RoleElectronic submission of healthcare claimsProcessing and managing medical billing and claims
CertificationsKnowledge of HIPAA, EDI standardsMedical billing certifications (e.g., CPC)
Work EnvironmentHealthcare providers, insurance companies, billing servicesMedical offices, billing companies, healthcare facilities
Industry UsageUsed by billing professionals to transmit claims electronicallyPerformed by billing specialists to ensure accurate claim processing

Hipaa Edi 837 focuses on the electronic format for submitting healthcare claims, while a Medical Billing Specialist handles the overall billing process, including claim submission, follow-up, and reimbursement. The EDI 837 is a specific standard used within the broader scope of medical billing activities performed by specialists.

What other helpful pages are available for Hipaa Edi 837?

Other pages related to Hipaa Edi 837:

Infographic showing various Hipaa Edi 837 job openings in the United States as of September 2026, with employment types broken down into 3% As Needed, 79% Full Time, 16% Part Time, and 2% Contract. Highlights an 80% Physical, 1% Hybrid, and 19% Remote job distribution, with an average salary of $85,086 per year, or $40.9 per hour.

EDI Analyst

Manhattan, NY • Remote

MetroPlusHealth
Insurance Services • 1 - 5K employees
Learn more about MetroPlusHealthexternal

$85K - $95K/yr

Full-time

Re-posted 16 days ago

MetroPlusHealth rating

6.7

Company rating: 6.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

276th of 315 rated insurance

Job description

Seeking an EDI Analyst responsible for implementing, maintaining, and supporting Electronic Data Interchange (EDI) transactions to ensure accurate, HIPAA-compliant data exchange among healthcare providers, clearinghouses, and payers. The role involves resolving transaction errors affecting claims, eligibility, and remittances while collaborating closely with IT, revenue cycle teams, and external trading partners to configure, test, monitor, and troubleshoot EDI data flows. 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 maintaining smooth operational performance

Scope of Role & Responsibilities

  • Responsible for configuring, testing, maintaining, enhancing, and supporting HIPAA EDI (837, 835, 834, 270, 271, 276, 277, 278) transactions and applications
  • Implement new and update existing Companion Guides and Trading Partner Agreements
  • Support day-to-day operations of EDI, including identifying any technical problems with sending/receiving transactions
  • Interact with Trading Partners, providers, vendors and internal departments to address technical issues related to EDI
  • Review electronic data received from providers/vendors to ensure presence and accuracy of critical data elements
  • Liaison between the business users and technical teams to build and improve the system based on business needs and requirements
  • Coordinate and establish a great relationship with External Vendors and work very closely to meet their needs
  • Create and simplify EDI Export and Import processes and collaborate with EDI trading partners, payers or vendors
  • Coordinate with our vendors, open cases on the issues at a system functionality level, and support the internal business stakeholders
  • Create business use case scenarios, document system specifications from information obtained through committee meetings, and generate various processes for other resources in the team to help them troubleshoot the issue in the future
  • Acquire and evaluate all project documentation for testing and compliance to meet quality assurance requirements
  • Maintain upkeep of system setup and processes to ensure accurate and optimum setup for both provider and member selection

Required Education, Training & Professional Experience

  • Bachelor’s Degree in Computer Science or a related technical discipline,
  • Minimum five years of full-time experience analyzing health care related data in a health-care environment. 
  • Experience with HIPAA data transaction required 
  • Proficient in use of Microsoft Office applications.
  • Ability to run Access queries and SQL required.

Professional Competencies

  • Integrity and Trust
  • Customer Focus
  • Functional/Technical skills
  • Must be able to work independently and to attend to detail.
  • Excellent written and verbal communication skills as well as strong project management and data analysis skills.

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