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Cdi Denials Management Jobs (NOW HIRING)

Healthrise

Manager, Coding Denials

Farmington Hills, MI · On-site

Requirements: Duties and Responsibilities Team Management and Development * Knows, understands ... Partners with Clinical Documentation Integrity (CDI) staff to resolve documentation gaps affecting ...

Vertek Staffing

CDI Specialist

Franklin, TN · Remote

$33.50 - $45/hr

The CDI Specialist will work collaboratively with HIM, Coding, Case Management, Utilization Review ... reducing denials through accurate clinical documentation and physician education. * Monitor ...

UF Health

Director, Follow-Up

Gainesville, FL · On-site

This leader oversees claim statusing, insurance follow-up, denials management, and underpayments ... CDI, Managed Care, Finance, IT, and Compliance to reduce rework, prevent avoidable write-offs, and ...

Covenant Health

CDI SPECIALIST CLINICAL

Knoxville, TN · On-site

$33.25 - $44.50/hr

Works in a collaborative fashion with Health Information Management and Coding Departments to ... Monitors activities and findings with regard to audits and denials and subsequently adjusts to ...

Covenant Health

CDI SPECIALIST CLINICAL

Knoxville, TN · On-site

$33.25 - $44.50/hr

Works in a collaborative fashion with Health Information Management and Coding Departments to ... Monitors activities and findings with regard to audits and denials and subsequently adjusts to ...

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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:

Executive Director of HIM

Fort Worth, TX • On-site

JPS Health Network
Health Care and Social Assistance • 5 - 10K employees
Learn more about JPS Health Networkexternal

Full-time

Re-posted 12 days ago

JPS Health Network rating

7.5

Company rating: 7.5 out of 10

Based on 44 frontline employees who took The Breakroom Quiz

Job description

Job Summary: The Executive Director Health Information Management (HIM) provides enterprise leadership for all HIM and coding operations across inpatient, outpatient, and professional services. This role is responsible for ensuring the accuracy, integrity, timeliness, and compliance of clinical documentation and coded data to support high-quality patient care, compliant reimbursement, and organizational sustainability. This position within Revenue Cycle, this position partners closely with clinical leaders, CDI, Revenue Integrity, Compliance, Finance, Managed Care, IT/Epic, and Quality to ensure the medical record accurately reflects care delivered and supports both fee-for-service and value-based reimbursement models.

Essential Job Functions & Accountabilities:

  1. Leads enterprise HIM and Coding strategy aligned with organizational clinical, operational, and financial objectives.

  2. Serves as the executive authority on documentation standards, coding practices, and data integrity.

  3. Drives modernization through automation, analytics, and performance optimization initiatives.

  4. Oversees all HIM and coding operations, including inpatient, outpatient, and professional coding; record completion; release of information; audits; DNFB; and coding-related charge lag.

  5. Establishes standardized workflows, productivity benchmarks, and quality controls to ensure operational excellence.

  6. Ensures timely, accurate coding to support cash flow and overall revenue cycle performance.

  7. Ensures the integrity of clinical documentation and coded data across the enterprise.

  8. Partners with Revenue Integrity, CDI, Denials, Compliance, and Managed Care to reduce revenue leakage and coding-related denials.

  9. Leads coding audits and oversee corrective action plans to ensure accuracy and compliance.

  10. Supports accurate reporting of CMI, SOI/ROM, risk adjustment, quality metrics, and value-based care initiatives.

  11. Promotes a culture of ethical coding, accountability, and transparency.

  12. Ensures compliance with all federal, state, and payer regulations, including CMS, OIG, HIPAA, and accreditation standards.

  13. Serves as executive representative during audits, regulatory reviews, and external engagements.

  14. Acts as executive sponsor for HIM and coding technologies, including Epic workflows, tools, and reporting capabilities.

  15. Partners with IT and Analytics to leverage data for performance improvement and strategic decision-making.

  16. Leads, develops, and mentors HIM and Coding leadership teams to achieve high performance.

  17. Oversees workforce planning, recruitment, training, and succession planning.

  18. Fosters a culture of continuous improvement, accountability, and professional development.

  19. Prepares department operating budgets on an annual basis and monitors areas of responsibility for compliance within the current budget; develops cost estimates, forecasts, and expenditures to optimize rewards mix and ensures good governance and compliance processes.

  20. Oversees the development and implementation of organizational policies and procedures.

  21. Establishes departmental productivity and quality standards and measures performance against industry best practice benchmarks.

  22. Participates in leadership development activities; implements strategies and processes to improve employee morale and performance.

  23. Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.

What JPS Health Network employees say

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Hours and flexibility

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About JPS Health Network

Sourced by ZipRecruiter

Who We AreJPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people. We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. Also, to provide high quality, compassionate clinical care for every patient, every time.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1877

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