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Remote Edi Hipaa Jobs in Ohio (NOW HIRING)

Remote Edi Hipaa information

What is a Remote EDI HIPAA specialist?

A Remote EDI HIPAA Specialist is a professional who manages and monitors the electronic exchange of healthcare information in compliance with HIPAA regulations, while working remotely. They ensure that electronic data interchange (EDI) transactions, such as insurance claims and patient records, are securely transferred between healthcare providers, payers, and other entities. Their role involves troubleshooting data transmission issues, maintaining data privacy and security, and ensuring all processes adhere to HIPAA standards. Strong knowledge of healthcare data formats, EDI standards, and federal privacy laws is essential in this position.

What are the key skills and qualifications needed to thrive as a Remote EDI HIPAA specialist?

To thrive as a Remote EDI HIPAA Specialist, you need in-depth knowledge of electronic data interchange (EDI), healthcare transaction sets (such as 837 and 835), and strong familiarity with HIPAA compliance requirements, often supported by a relevant degree or certification. Proficiency in EDI mapping tools, transaction monitoring systems, and healthcare management software like X12, Sterling Gentran, or similar platforms is essential. Excellent analytical skills, attention to detail, and strong communication make you stand out when troubleshooting issues and collaborating with payers or providers remotely. These skills are crucial to ensure accurate, secure, and compliant healthcare data transactions in a virtual environment.

What are some common challenges faced by Remote EDI HIPAA professionals, and how can they be managed effectively?

Remote EDI HIPAA professionals often encounter challenges such as ensuring secure data transmission, maintaining compliance with constantly evolving HIPAA regulations, and troubleshooting EDI transaction errors without onsite support. To manage these effectively, it's important to stay updated on regulatory changes, utilize secure communication tools, and develop strong documentation and troubleshooting skills. Regular communication with IT, compliance, and healthcare partners is also key to resolving issues promptly and maintaining smooth operations.

What is the difference between Remote Edi Hipaa vs Remote Medical Biller?

AspectRemote Edi HipaaRemote Medical Biller
CertificationsHIPAA compliance, EDI standardsMedical billing certifications (e.g., CPC, CPC-H)
Work EnvironmentElectronic data interchange processing, compliance-focusedBilling, coding, and insurance claim submission
Industry UsageHealthcare, insurance, EDI providersHealthcare providers, billing companies
Search/Comparison IntentFocus on HIPAA and EDI compliance rolesFocus on billing and coding tasks

Remote Edi Hipaa specialists primarily handle electronic data interchange and HIPAA compliance, ensuring secure transmission of healthcare data. Remote Medical Billers focus on submitting insurance claims and coding. While both roles work remotely in healthcare, EDI Hipaa roles emphasize data security and standards, whereas Medical Billers concentrate on billing processes and reimbursements.

What are popular job titles related to Remote Edi Hipaa jobs in Ohio?

For Remote Edi Hipaa jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Remote Edi Hipaa jobs in Ohio look for?

The top searched job categories for Remote Edi Hipaa jobs in Ohio are:

What cities in Ohio are hiring for Remote Edi Hipaa jobs?

Cities in Ohio with the most Remote Edi Hipaa job openings:

Infographic showing various Remote Edi Hipaa job openings in Ohio as of August 2026, with employment types broken down into 3% As Needed, 74% Full Time, 20% Part Time, and 3% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Practice Management Systems Analyst - Revenue Cycle & Claims Integration - Remote

Crossroads Treatment Centers

Cleveland, OH • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago


Job description

Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.

Day in the Life of Practice Management Systems Analyst - Revenue Cycle & Claims Integration

*Backgrounds with identifiable CareLogic and Waystar experience with be reviewed first.

The Senior PM Analyst is responsible for providing advanced support, analysis, and optimization of the clinic's practice management (PM) and clearinghouse systems. This role acts as a subject matter expert for Waystar, CareLogic, and Medgen, ensuring that scheduling, registration, coding, and billing-related workflows run efficiently. The Senior Analyst will partner with clinical, operational, and administrative teams in medication assisted treatment setting to improve patient access, streamline operations, and ensure compliance with state and federal regulations

Must have to apply:

  • EMR system configuration is required.

  • Must have leadership skills and have managed in current role

  • Must have experience creating PowerPoint decks for leadership presentation

  • Must have medical billing experience

  • Must have experience with Waystar clearinghouse & EDI files

  • Must have web-based billing software and Electronic Health Systems.

The Senior PM Analyst is responsible for providing advanced support, analysis, and optimization of the clinic's practice management (PM) and clearinghouse systems. This role acts as a subject matter expert for Waystar, CareLogic, and Medgen, ensuring that scheduling, registration, coding, and billing-related workflows run efficiently. The Senior Analyst will partner with clinical, operational, and administrative teams in medication assisted treatment setting to improve patient access, streamline operations, and ensure compliance with state and federal regulations.

Responsibilities include:

  • Managing PM Analyst

  • Working with VP, Director and Business Analysts

  • Maintain payor list

  • Maintain billable service mapping.

  • Work assigned projects independently and tracks progress to meet deadlines.

  • Assisting with legacy system preparation & cleanup.

  • Troubleshoot RCM related tickets.

  • Protect patients' rights by maintaining the confidentiality of personal and financial information.

  • Assist in companywide initiatives as part of the team providing direction as it relates to Implementation, software set-up, and maintenance.

  • Manage and field questions from key stakeholders within the company as it relates to RCM onboarding, process changes, and operations.

  • Evaluate process, make process improvements, and update process changes

  • Attend, participate in and facilitate meetings as necessary.

  • Foster effective and positive business relationships with all parties.

  • Document changes, workflows, and processes.

  • Assist to Implement and maintain EMR, Clearinghouse, and RCM Services workflows.

  • Provide support to the RCM department as the subject matter expert as it relates to EMR functionality of billing & collections.

  • Other duties as assigned.

  • Adhere to HIPAA laws.

Education and Requirements
  • 2 years' experience with medical billing, preferred in substance abuse and/or primary care.

  • Bachelor's degree preferred or will take equivalent work experience.

  • Excellent verbal and written communication skills.

  • An above-average aptitude with internet/computer use.

  • Prior experience working with Carelogic is ideal

Position Benefits
  • Medical, Dental, and Vision Insurance

  • PTO

  • Variety of 401K options including a match program with no vesture period

  • Life Insurance

  • Short/Long Term Disability

  • Paid maternity/paternity leave

  • Mental Health Day

  • Calmsubscription for all employees