Saint Louis, MO · Remote
$22.47/hr
Denial Specialist (Remote) Pay Rate: $22.47/hr Remote: Must reside in US Schedule: Tuesday-Saturday ... HCPCS/CPT coding knowledge. Work Environment * Fully remote; candidates may be located in any U.S ...
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Saint Louis, MO · Remote
$22.47/hr
Denial Specialist (Remote) Pay Rate: $22.47/hr Remote: Must reside in US Schedule: Tuesday-Saturday ... HCPCS/CPT coding knowledge. Work Environment * Fully remote; candidates may be located in any U.S ...
TX · Remote
$19.25 - $24.50/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
TX · Remote
$19.25 - $24.50/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
$18.50 - $23.75/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
$18.50 - $23.75/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
TN · Remote
$19.25 - $24.50/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
TN · Remote
$19.25 - $24.50/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
KY · Remote
$19.25 - $24.50/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
KY · Remote
$19.25 - $24.50/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
GA · Remote
$19.25 - $24.50/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
GA · Remote
$19.25 - $24.50/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
LA · Remote
$19.25 - $24.50/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
LA · Remote
$19.25 - $24.50/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
Washington, DC · On-site
$25 - $30/hr
Analyze medical records, EOBs, denial and approval letters, and related correspondence ... Current CPC (Certified Professional Coder) or equivalent coding certification required ...
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Washington, DC · On-site
$25 - $30/hr
Analyze medical records, EOBs, denial and approval letters, and related correspondence ... Current CPC (Certified Professional Coder) or equivalent coding certification required ...
AL · Remote
$19.25 - $24.50/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
AL · Remote
$19.25 - $24.50/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
Lisle, IL · On-site
$30.37 - $45.56/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
Lisle, IL · On-site
$30.37 - $45.56/hr
Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...
An individual who has a Coding Certification (RHIT, CCS, CCS P, or CPC) paired with 3 to 5 years of experience in healthcare coding. Our Clinical Denial Specialist proactively reviews and is informed ...
An individual who has a Coding Certification (RHIT, CCS, CCS P, or CPC) paired with 3 to 5 years of experience in healthcare coding. Our Clinical Denial Specialist proactively reviews and is informed ...
An individual who has a Coding Certification (RHIT, CCS, CCS P, or CPC) paired with 3 to 5 years of experience in healthcare coding. Our Clinical Denial Specialist proactively reviews and is informed ...
An individual who has a Coding Certification (RHIT, CCS, CCS P, or CPC) paired with 3 to 5 years of experience in healthcare coding. Our Clinical Denial Specialist proactively reviews and is informed ...
Kirkland, WA · On-site
$28.83 - $46.14/hr
... Coding, and Health Information Management (HIM) to gather supporting documentation that will ... denial trends and communicates payer feedback to promote consistency in documentation, appeal ...
Kirkland, WA · On-site
$28.83 - $46.14/hr
... Coding, and Health Information Management (HIM) to gather supporting documentation that will ... denial trends and communicates payer feedback to promote consistency in documentation, appeal ...
$19.25 - $25.50/hr
Denials Coder Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit ... You will leverage your analytical expertise to research denial reasons, review medical records, and ...
New
$19.25 - $25.50/hr
Denials Coder Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit ... You will leverage your analytical expertise to research denial reasons, review medical records, and ...
New
Kirkland, WA · Remote
$28.83 - $46.14/hr
... Coding, and Health Information Management (HIM) to gather supporting documentation that will ... denial trends and communicates payer feedback to promote consistency in documentation, appeal ...
Kirkland, WA · Remote
$28.83 - $46.14/hr
... Coding, and Health Information Management (HIM) to gather supporting documentation that will ... denial trends and communicates payer feedback to promote consistency in documentation, appeal ...
Evaluates accounts using remittances, denial reason codes, remark codes, and payer communications to drive claim resolution. * Prepares, submits, and follows up on appeals and reconsiderations to ...
Evaluates accounts using remittances, denial reason codes, remark codes, and payer communications to drive claim resolution. * Prepares, submits, and follows up on appeals and reconsiderations to ...
Addison, TX · On-site
Support denial management workflows by reviewing coding-related denials and recommending corrective actions. * Maintain accurate and organized coding records and documentation. * Ensure compliance ...
Addison, TX · On-site
Support denial management workflows by reviewing coding-related denials and recommending corrective actions. * Maintain accurate and organized coding records and documentation. * Ensure compliance ...
Analyze denial trends by payer, denial code ( CARC/RARC ), and denial category to identify systemic root causes. * Develop and manage clinical and technical appeal strategies across multiple payer ...
Quick apply
Analyze denial trends by payer, denial code ( CARC/RARC ), and denial category to identify systemic root causes. * Develop and manage clinical and technical appeal strategies across multiple payer ...
Omaha, NE · On-site +1
$19.87 - $28.06/hr
... coding denials ... You will leverage your analytical expertise to research denial reasons, review medical records, and ...
New
Omaha, NE · On-site +1
$19.87 - $28.06/hr
... coding denials ... You will leverage your analytical expertise to research denial reasons, review medical records, and ...
New
Omaha, NE · Remote
$19.87 - $28.06/hr
... coding denials ... You will leverage your analytical expertise to research denial reasons, review medical records, and ...
New
Omaha, NE · Remote
$19.87 - $28.06/hr
... coding denials ... You will leverage your analytical expertise to research denial reasons, review medical records, and ...
New
$15.87 - $17.55
6% of jobs
$18.74 is the 25th percentile. Wages below this are outliers.
$17.55 - $19.23
26% of jobs
The median wage is $20.19 / hr.
$19.23 - $20.91
31% of jobs
$20.91 - $22.60
7% of jobs
$23.31 is the 75th percentile. Wages above this are outliers.
$22.60 - $24.28
11% of jobs
$24.28 - $25.96
6% of jobs
$25.96 - $27.64
5% of jobs
$27.64 - $29.33
3% of jobs
$29.33 - $31.01
2% of jobs
$31.01 - $32.69
1% of jobs
$32.69 - $34.38
1% of jobs
$15
$22
$34
$22.47/hr
Contractor
Re-posted 29 days ago
Pay Rate: $22.47/hr
Remote: Must reside in US
Schedule: Tuesday–Saturday, 1:00 PM–10:00 PM CST
Contract with potential to extend: 1/12/26 - 12/11/2026
The Denial Specialist generates, processes, and maintains provider and member correspondence related to preservice and concurrent reviews. This role supports denial workflows by ensuring accurate documentation, timely communication, and compliance with regulatory standards.
Key ResponsibilitiesGenerate and process correspondence using EMR documentation within required timelines.
Review incoming faxes and upload documentation into the electronic medical record system.
Maintain and update correspondence templates based on regulatory or interdepartmental needs.
Coordinate data collection, analysis, and reporting related to the denial process.
Monitor compliance and turnaround time (TAT) logs for all notifications.
Fax denial letters to providers.
Make 25–35 outbound calls per day.
Perform additional duties as assigned while adhering to all policies and standards.
Education
High school diploma or GED required.
Experience
1–2 years of related experience.
Knowledge of the denials process and medical record information preferred.
Background in customer service or medical office administration is highly beneficial.
Skills
Strong computer skills; proficiency with Microsoft Office and Microsoft Teams.
Familiarity with medical terminology.
Preferred: HCPCS/CPT coding knowledge.
Fully remote; candidates may be located in any U.S. time zone.
Not member-facing and not required to work onsite.
Training provided on day one, including system setup and onboarding.
Computer competency and typing test (90% pass score).
One virtual interview with the hiring manager.
CLIENT does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
