Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Conducts root cause analysis of denied payments through comprehensive review of patient encounters, payer contracts, historical denial trends, and appeal outcomes. Maintains strong relationships with ...
Conducts root cause analysis of denied payments through comprehensive review of patient encounters, payer contracts, historical denial trends, and appeal outcomes. Maintains strong relationships with ...
Conducts root cause analysis of denied payments through comprehensive review of patient encounters, payer contracts, historical denial trends, and appeal outcomes. Maintains strong relationships with ...
Conducts root cause analysis of denied payments through comprehensive review of patient encounters, payer contracts, historical denial trends, and appeal outcomes. Maintains strong relationships with ...
Responsible to optimize the financial outcomes of revenue cycle through maintaining a low denial rate and high reimbursement rate at an enterprise level for UF Health. Initiates a root cause analysis ...
Responsible to optimize the financial outcomes of revenue cycle through maintaining a low denial rate and high reimbursement rate at an enterprise level for UF Health. Initiates a root cause analysis ...
Responsible to optimize the financial outcomes of revenue cycle through maintaining a low denial rate and high reimbursement rate at an enterprise level for UF Health. Initiates a root cause analysis ...
Responsible to optimize the financial outcomes of revenue cycle through maintaining a low denial rate and high reimbursement rate at an enterprise level for UF Health. Initiates a root cause analysis ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies ...
Medical Claims Denial Specialist
Sarasota, FL · On-site
$20/hr
Review and analyze denied insurance claims to determine the reasons for denial and identify necessary corrective actions. * Prepare and submit appeals and supporting documentation to insurance ...
Medical Claims Denial Specialist
Sarasota, FL · On-site
$20/hr
Review and analyze denied insurance claims to determine the reasons for denial and identify necessary corrective actions. * Prepare and submit appeals and supporting documentation to insurance ...
Denial & Appeals Coordinator- Onsite Coral Gables, Florida
Coral Gables, FL · On-site
$21 - $26/hr
Manage the denial root cause analysis efforts as requested; including * Capturing lessons learned * Identifying training opportunities * Providing appropriate communication and follow up to the teams
Denial & Appeals Coordinator- Onsite Coral Gables, Florida
Coral Gables, FL · On-site
$21 - $26/hr
Manage the denial root cause analysis efforts as requested; including * Capturing lessons learned * Identifying training opportunities * Providing appropriate communication and follow up to the teams
Identify revenue leakage, denial trends, coding opportunities and reimbursement optimization opportunities. * Develop AI-assisted analytical workflows using Copilot, Azure AI and LLM technologies.
Identify revenue leakage, denial trends, coding opportunities and reimbursement optimization opportunities. * Develop AI-assisted analytical workflows using Copilot, Azure AI and LLM technologies.
Identify revenue leakage, denial trends, coding opportunities and reimbursement optimization opportunities. * Develop AI-assisted analytical workflows using Copilot, Azure AI and LLM technologies.
Identify revenue leakage, denial trends, coding opportunities and reimbursement optimization opportunities. * Develop AI-assisted analytical workflows using Copilot, Azure AI and LLM technologies.
Senior Data Analyst - AI & Dermatology Claims Analytics
Maitland, FL · On-site
$80K - $101K/yr
Identify revenue leakage, denial trends, coding opportunities and reimbursement optimization opportunities. * Develop AI-assisted analytical workflows using Copilot, Azure AI and LLM technologies.
Senior Data Analyst - AI & Dermatology Claims Analytics
Maitland, FL · On-site
$80K - $101K/yr
Identify revenue leakage, denial trends, coding opportunities and reimbursement optimization opportunities. * Develop AI-assisted analytical workflows using Copilot, Azure AI and LLM technologies.
Claims Quality Business Analyst
Coral Gables, FL · On-site
$85 - $115/hr
Denial Letters/IDN * Explanation of Benefits (EOB) * Conduct root cause analyses on claim errors, payment variances, denials, and provider disputes. * Identify trends related to pended, denied ...
Claims Quality Business Analyst
Coral Gables, FL · On-site
$85 - $115/hr
Denial Letters/IDN * Explanation of Benefits (EOB) * Conduct root cause analyses on claim errors, payment variances, denials, and provider disputes. * Identify trends related to pended, denied ...
Epic HB Claims Analyst
Tampa, FL · On-site
$60 - $65/hr
Support denial management initiatives, revenue integrity projects, and reimbursement optimization ... Mentor junior analysts and provide subject matter expertise on Epic Revenue Cycle applications.
Quick apply
Epic HB Claims Analyst
Tampa, FL · On-site
$60 - $65/hr
Support denial management initiatives, revenue integrity projects, and reimbursement optimization ... Mentor junior analysts and provide subject matter expertise on Epic Revenue Cycle applications.
Denial Letters/IDN * Explanation of Benefits (EOB) * Conduct root cause analyses on claim errors, payment variances, denials, and provider disputes. * Identify trends related to pended, denied ...
Denial Letters/IDN * Explanation of Benefits (EOB) * Conduct root cause analyses on claim errors, payment variances, denials, and provider disputes. * Identify trends related to pended, denied ...
Denial Letters/IDN * Explanation of Benefits (EOB) * Conduct root cause analyses on claim errors, payment variances, denials, and provider disputes. * Identify trends related to pended, denied ...
Quick apply
Denial Letters/IDN * Explanation of Benefits (EOB) * Conduct root cause analyses on claim errors, payment variances, denials, and provider disputes. * Identify trends related to pended, denied ...
This role focuses on ensuring accurate and compliant charge capture, payment processing, and denial management through data analysis, collaboration, and system optimization. Works closely with ...
This role focuses on ensuring accurate and compliant charge capture, payment processing, and denial management through data analysis, collaboration, and system optimization. Works closely with ...
Denial Analyst information
See Florida salary details
$9.77 - $12.26
5% of jobs
$14.28 is the 25th percentile. Wages below this are outliers.
$12.26 - $14.74
24% of jobs
The median wage is $16.54 / hr.
$14.74 - $17.23
28% of jobs
$17.23 - $19.72
15% of jobs
$20.35 is the 75th percentile. Wages above this are outliers.
$19.72 - $22.21
9% of jobs
$22.21 - $24.70
11% of jobs
$24.70 - $27.19
2% of jobs
$27.19 - $29.68
2% of jobs
$29.68 - $32.17
1% of jobs
$32.17 - $34.66
1% of jobs
$34.66 - $37.15
1% of jobs
$9
$19
$37
How much do denial analyst jobs pay per hour?
What is a denial analyst?
A Denial Analyst is responsible for reviewing and analyzing medical insurance claims that have been denied or rejected by insurance companies. They investigate the reasons for denials, identify patterns, and work with billing teams, healthcare providers, and insurance companies to resolve issues and recover payments. Denial Analysts also help implement process improvements to reduce future claim denials and ensure compliance with insurance policies and regulations. Their role is critical in optimizing revenue cycle management and improving reimbursement rates for healthcare organizations.
What are some typical challenges faced by denial analysts in their daily work?
Denial Analysts often encounter challenges such as navigating complex healthcare regulations, interpreting varied insurance policies, and addressing high volumes of denied claims. Staying up-to-date on payer guidelines and working closely with coding, billing, and clinical teams to resolve inconsistencies is a key part of the role. It's common to manage competing deadlines and work under pressure to ensure appeals are filed promptly. However, overcoming these challenges develops valuable expertise and can open doors to advanced roles in revenue cycle management or healthcare compliance.
What are the key skills and qualifications needed to thrive in the denial analyst position, and why are they important?
To thrive as a Denial Analyst, you need analytical skills, knowledge of healthcare claims processing, and a background in medical billing or health administration. Familiarity with claims management software, EHR systems, and certifications such as Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) are highly beneficial. Attention to detail, problem-solving abilities, and strong written and verbal communication help Denial Analysts excel in reviewing and resolving claims issues. These skills ensure effective identification and correction of reimbursement denials, supporting timely revenue recovery for healthcare organizations.
What are the most commonly searched types of Denial Analyst jobs in Florida?
The most popular types of Denial Analyst jobs in Florida are:
What are popular job titles related to Denial Analyst jobs in Florida?
For Denial Analyst jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Denial Analyst jobs in Florida look for?
The top searched job categories for Denial Analyst jobs in Florida are:
- Anesthesia Claims
- Overnight Edi Billing Specialist
- Urgently Hiring Claims Appeals Specialist
- Work From Home Medical Billing Clearinghouse
- Temporary Claims Denial Specialist
- Medical Billing A R Specialist
- Overnight Medical Billing And Coding
- Remote Medical Billing Clearinghouse
- Remote Claim Processor
- Dental Claim Support

Full-time
Re-posted 27 days ago
Job description
Work remotely while using your denial management expertise to make a direct impact on healthcare operations.
???? Work Style: Remote
???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or TX)
???? FTE: Full-Time (1.0 FTE)
Responsible for maintaining low denial rates and optimizing reimbursement across the enterprise by ensuring high coding standards and effective denial management practices. Leads and supports initiatives to improve coding accuracy, reimbursement outcomes, and appeal turnaround times.
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies opportunities for performance improvement and implements strategies to enhance revenue cycle outcomes.
Educates departments on appropriate charging, billing, and coding practices to ensure regulatory compliance. Collaborates with Managed Care, Compliance, and operational teams to resolve complex issues with departments and payers, driving sustainable improvements in reimbursement and denial prevention.
Responsibilities
Key Responsibilities:
- Manages clinical denials from clinical denial workqueues including claim resubmission, authorization verification, payer claim reprocessing, claim reconsiderations, and appeals.
- Works closely with managed care teams and payers to reduce denials and increase reimbursement.
- Develops recommendations for coding and documentation process improvements based on denial analysis and coding guidelines.
- Completes assigned work within established productivity and accuracy standards, including processing assigned denial workqueues while maintaining quality expectations.
- Uses coding software, NCCI, ICD-10, CPT, HCPCS, and CMS coding guidelines to accurately review, code, and correct accounts.
- Collaborates with department managers to report, track, and resolve denials. Assists with investigations and audits to identify, correct, trend, and report charging, coding, and billing compliance issues.
- Manages assigned payer workqueues including Medicare, Medicaid, government payers, commercial payers, Medicare Advantage plans, and other payer types.
- Researches payer denials related to authorization, medical necessity, non-covered services, coding, and billing, and initiates timely reconsiderations and appeals to prevent filing denials.
- Prepares detailed, customized reconsiderations and appeals based on medical record review and organizational policies and procedures.
- Identifies denial trends and escalates root cause findings to management for additional follow-up and process improvement.
- Reviews payer communications to identify reimbursement risks related to medical policies, coverage requirements, and prior authorizations.
- Reviews and corrects coding, modifiers, diagnosis sequencing, and charges in accordance with coding, charging, and billing guidelines.
- Partners with departments to educate staff and improve documentation, coding, charging, and authorization processes to reduce denials and improve reimbursement.
Qualifications
Minimum Qualifications:
- High School Diploma or GED required
- One of the following coding certifications required: CPC, COC, RHIT, RHIA, or CCS
- 1–2 years of coding experience, along with 1–2 years of denial management and/or insurance-related experience
About UF Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Gainesville, FL, US
Year founded
1958