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Healthcare Edi Analyst

3+ years
$89,865 – $155,767 by Annual
10 June 11, 2025
Job Description
Job Type: Remote Education: B.Sc./M.Sc/B.Pharm/M.Pharm/Life Science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

 

Healthcare EDI Analyst – Remote (USA)

Job Summary:

Experian, a global leader in data and technology, is hiring a Healthcare EDI Analyst to join its Experian Health division. This remote, full-time opportunity focuses on the electronic exchange of healthcare data, HIPAA compliance, troubleshooting EDI transactions, and collaboration with technology and business teams. Candidates with at least 3 years of healthcare EDI experience are encouraged to apply.


Key Responsibilities:

  • Monitor, analyze, and resolve EDI transaction issues.

  • Ensure compliance with HIPAA regulations in all transactions.

  • Develop and maintain EDI documentation including companion guides and process checklists.

  • Collaborate with internal technology, operations, and business teams for process improvement.

  • Conduct training for internal teams on EDI standards and best practices.

  • Communicate connectivity and processing issues with stakeholders and external partners.

  • Utilize and support automation and AI technologies to optimize EDI processes.

  • Maintain strong partner relationships to ensure seamless EDI operations.

  • Host working sessions with clients, vendors, and trading partners.


Required Skills & Qualifications:

  • Minimum 3 years' experience as an EDI Analyst or in similar healthcare revenue cycle roles.

  • Strong understanding of EDI standards: X12, EDIFACT, HL7.

  • Familiarity with healthcare transactions: 270/271, 276/277, 278, 837, 835.

  • Proficient with EDI mapping tools and related applications.

  • Experience using Salesforce, Atlassian JIRA, Microsoft 365 suite with advanced Excel skills.

  • Solid knowledge of healthcare reimbursement workflows and patient access processes.

  • Familiarity with Agile methodologies (Scrum, Kanban).

  • Excellent communication and documentation abilities.


Perks & Benefits:

  • Competitive annual salary: $89,865 – $155,767.

  • Bonus opportunities.

  • Comprehensive health benefits (medical, dental, vision).

  • 401(k) plan with company matching.

  • Flexible work environment: Remote, Hybrid, or On-site options.

  • 15 days flexible time off, 12 paid holidays, volunteer leave options.

  • Recognition as a Great Place to Work™ and World's Best Workplaces™.


Company Overview:

Experian is a global data and technology leader serving industries including healthcare, finance, and automotive. With cutting-edge analytics and AI-driven solutions, Experian enables better decision-making for organizations and consumers worldwide. The company operates in over 32 countries with a workforce exceeding 23,000 professionals.


Work Mode:

Remote (Work from Home)


Call to Action:

Interested in advancing your career with a global tech innovator in healthcare data? Apply now and join Experian’s mission to shape the future of healthcare technology.