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Cdi Denials Management Jobs (NOW HIRING)

... management standards and protocols. * Identify coding and/or documentation trends for root causes of denials. * Identify and communicate DRG changes and financial impact. * Identify coding and ...

... CDI, coding, UR, and denial management training using data-driven curriculum, competency assessments, and audit outcomes to improve accuracy, compliance, and preventable denials. 2. Provide focused ...

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Cdi Denials Management information

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How much do cdi denials management jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for cdi denials management in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What is CDI Denials Management?

CDI Denials Management refers to the process of reviewing, analyzing, and addressing denials related to Clinical Documentation Improvement (CDI) in healthcare organizations. It involves identifying the reasons why insurance claims are denied due to documentation issues, implementing strategies to prevent future denials, and working with clinical staff to ensure accurate and complete medical records. The goal is to improve reimbursement rates, maintain compliance, and enhance overall documentation quality. Professionals in this field collaborate with coders, physicians, and payers to resolve documentation discrepancies and appeal denied claims effectively.

What are the key skills and qualifications needed to thrive in CDI Denials Management?

To thrive in CDI Denials Management, a strong background in clinical documentation improvement, coding, and medical terminology is essential, often supported by credentials such as RN, RHIA, RHIT, or CCDS. Familiarity with electronic health records (EHRs), denial management software, and knowledge of payer guidelines and appeals processes are typically required. Attention to detail, analytical thinking, and effective communication skills help professionals investigate denials and collaborate with healthcare teams. These skills are crucial to minimizing revenue loss, ensuring accurate clinical documentation, and promoting compliance within healthcare organizations.

What are some common challenges faced in CDI Denials Management and how can professionals overcome them?

Professionals in CDI Denials Management often encounter challenges such as inconsistent documentation, evolving payer requirements, and complex appeal processes. Successfully navigating these challenges requires strong communication with clinical staff to ensure accurate documentation and a thorough understanding of payer policies. Building collaborative relationships with other departments, staying updated on regulatory changes, and leveraging data analytics can help streamline workflows and improve denial overturn rates. Continuous education and proactive communication are key to minimizing denials and supporting revenue cycle goals.

What are popular job titles related to Cdi Denials Management jobs?

For Cdi Denials Management jobs, the most frequently searched job titles are:

CODING/CDI DENIALS ANALYST

Dallas, TX • Remote

UT Southwestern Medical Center
Hospitals • 10K+ employees

Full-time

Medical, Retirement, PTO

Posted 6 days ago


UT Southwestern rating

7.9

Company rating: 7.9 out of 10

Based on 152 frontline employees who took The Breakroom Quiz


Job description

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
The Coding/CDI Denials Analyst primary responsibilities are to review coding denials for inpatient hospital medical records, for accuracy of assigned codes, and ensure all Official Coding Guidelines and conventions were followed. Also, to ensure the clinical evidence and provider documentation supports the assigned codes and DRG. Compose and submit appeal letters as appropriate, identify coding trends/opportunities for root causes of denials, which would be relevant for additional education to individual Coders/CDI Specialist's and/or the entire Coding/CDI Teams. Report these trends/opportunities to the Lead Denials Analyst to ensure education is developed and provided to the Coders and/or CDI Teams. Identify and communicate front-end activities that influence the denials/appeals process, seeking opportunities for process improvement.

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

  • PPO medical plan, available day one at no cost for full-time employee-only coverage
  • 100% coverage for preventive healthcare-no copay
  • Paid Time Off, available day one
  • Retirement Programs through the Teacher Retirement System of Texas (TRS)
  • Paid Parental Leave Benefit
  • Wellness programs
  • Tuition Reimbursement
  • Public Service Loan Forgiveness (PSLF) Qualified Employer
  • Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION
Required
  • Experience
    3 years three to five (3-5) year's acute hospital-based Coding and/or CDI experience or
    An equivalent combination of education and experience may be considered
    Denials and Appeals experience in an acute Hospital setting and
    Experience working in a remote environment
  • Licenses and Certifications
    (RHIA) REGD HEALTH INFO ADMINIST or
    (RHIT) REGD HEALTH INFO TECHNOLO or
    (CCS) CERT CODING SPECIALIST or
    (CCDS) Cert Clinical Documentation or
    (CDIP) CERT DOCUMNTATN IMPROVMNT PRAC
Preferred
  • Experience
    RN with CDI experience

JOB DUTIES
  • Review coding and/or clinical denials, ensuring all coding guidelines and conventions were followed, and ensuring all clinical evidence and provider documentation supports the assigned codes and DRG.
  • Compose an effective appeal utilizing appropriate coding guidelines, relevant and effective clinical documentation, current industry guidelines, evidence-based medicine, and local and national medical management standards and protocols.
  • Identify coding and/or documentation trends for root causes of denials.
  • Identify and communicate DRG changes and financial impact.
  • Identify coding and clinical educational opportunities and report these to the Lead Denials Analyst.
  • Identify front-end activities that influence denial/appeals process.
  • Support the Quality Standards set by UTSW and the HIM Coding & CDI Department.
  • Maintains an expert level of knowledge of Coding/CDI guidelines and practices.
  • Other duties as assigned.

SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

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