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Cdi Denials Management Jobs (NOW HIRING)

University of Iowa

CDI Quality Analyst

Iowa City, IA · On-site

... Information Management Association, AHIMA). CDI quality chart reviews include: * New acute ... Clinical Denials: * Performs analysis on clinical documentation, evidenced based criteria ...

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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:

Manager, Enterprise Professional Coding Denials

Charlottesville, VA • On-site

University of Virginia
Colleges, Universities, and Professional Schools • 10K+ employees
Learn more about University of Virginiaexternal

$110K - $138K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago

Key responsibilities

  • Oversee the full lifecycle of professional claim denials, including root cause analysis and resolution strategies.

  • Develop and standardize denial prevention workflows and appeal processes.

  • Monitor denial performance metrics and collaborate with teams to implement data-informed improvement initiatives.

University Of Virginia rating

7.9

Company rating: 7.9 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

Job description

The Manager - Enterprise Professional Coding Denials is responsible for leading UVA Health's professional coding denial prevention and resolution initiatives. This role oversees the full lifecycle of professional claim denials, ensuring appropriate coding, accurate reimbursement, and compliance with payer guidelines. The Denials Manager collaborates across the health system-including providers, coders, educators, clinical departments, and revenue cycle teams-to reduce avoidable denials, strengthen appeal strategies, and support organizational revenue integrity efforts.
This position serves as UVA Health's subject matter expert for professional coding-related denials as well as payer policy interpretation and compliance and plays a key role in performance improvement within a complex academic medical environment.
This Manager role will establish and lead a centralized function responsible for:
  • Oversight of professional coding-related denials across the Enterprise, including root cause analysis and resolution strategies
  • Development and standardization of denial prevention workflows and appeal processes
  • Identification of trends and collaboration with coding, education, CDI, and revenue cycle teams to address underlying issues
  • Monitoring denial performance metrics and driving data-informed improvement initiatives
  • Providing leadership and structure as denial-focused resources are formalized and expanded

This position ensures focused accountability for denial performance, strengthens alignment across coding and revenue cycle operations, and supports organizational goals related to revenue integrity and reimbursement optimization.
Candidates should be able to demonstrate:
  • Expert knowledge of ICD-10-CM, CPT, HCPCS coding; Medicare and commercial payer rules and guidelines; and adjudication and appeals processes.
  • Experience interpreting EOBs, remittance advice codes, payer policies, and medical billing workflows.
  • Knowledge of revenue integrity, charge capture, and CDI concepts.
  • Excellent analytical, organizational, and communication skills.
  • Proficiency using dashboards or reporting tools (e.g., Excel, Power BI, Tableau).
  • Experience using an EMR and billing platform (EPIC strongly preferred).
  • Experience leading denials prevention initiatives and managing denial workflows in an academic medical center or large integrated healthcare system strongly preferred.

MINIMUM REQUIREMENTS:
Education: Bachelor's degree required. Significant (4+ years) experience beyond the required experience indicated below may be accepted in lieu of the Bachelor's degree
Experience: 7+ years of previous coding experience, to include 2+ years of formal management experience required. Strong preference for formal management experience in revenue cycle operations, professional coding, or denials management
Licensure: Active coding certification through either AHIMA or AAPC required; CPB preferred
PHYSICAL DEMANDS:
This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally requires traveling some distance to attend meetings, and programs.
The pay range for this role is $110,000.00 - $138,432.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.
Benefits
  • Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
  • Paid Time Off, Long-term and Short-term Disability, Retirement Savings
  • Health Saving Plans, and Flexible Spending Accounts
  • Certification and education support
  • Generous Paid Time Off

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children's is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.
The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA's commitment to non-discrimination and equal opportunity employment .

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About University of Virginia

Sourced by ZipRecruiter

The University of Virginia is distinctive among institutions of higher education. Founded by Thomas Jefferson in 1819, the University sustains the ideal of developing, through education, leaders who are well-prepared to shape the future of the nation.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Charlottesville, VA, US

Year founded

1819

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