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Denial Prevention Analyst Jobs (NOW HIRING)

PB Denial Specialist - EPIC

Lisle, IL · On-site

$30.37 - $45.56/hr

... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.

PB Denial Specialist - EPIC

AL · Remote

$19.25 - $24.50/hr

... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.

... denial prevention strategies. The Senior Analyst serves as a key analytical resource, translating performance data into operational recommendations that align with regional and system revenue cycle ...

... denial prevention strategies. The Senior Analyst serves as a key analytical resource, translating performance data into operational recommendations that align with regional and system revenue cycle ...

Denials Analyst

Birmingham, AL · On-site

$15 - $20/hr

... strategies to prevent future denials. Your dual expertise in denial management and Epic PB ... Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ...

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Denial Prevention Analyst information

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$33K

$80.8K

$105.5K

How much do denial prevention analyst jobs pay per year?

As of Aug 16, 2026, the average yearly pay for denial prevention analyst in the United States is $80,750.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,000.00 and $91,000.00 per year, depending on experience, location, and employer.

What are the typical challenges faced by denial prevention analysts, and how can they overcome them?

Denial Prevention Analysts often encounter challenges such as complex insurance requirements, evolving payer guidelines, and frequent claim denials due to documentation errors or coding discrepancies. To overcome these challenges, they must stay updated on industry regulations, proactively communicate with clinical staff for accurate records, and use data analytics tools to identify denial patterns. Collaborating closely with billing teams and appeals specialists is also key to ensuring denied claims are addressed promptly and effectively. By continuously refining workflows and implementing best practices, Denial Prevention Analysts play a vital role in minimizing revenue loss and supporting the financial health of their organization.

What is a denial prevention analyst?

A Denial Prevention Analyst is responsible for identifying and reducing insurance claim denials in healthcare settings. They analyze denied claims, identify patterns, and implement corrective actions to improve reimbursement rates. Their role involves collaborating with billing teams, payers, and healthcare providers to resolve issues and prevent future denials. Strong knowledge of insurance policies, medical billing, and coding is essential.

What are the key skills and qualifications needed to thrive in the denial prevention analyst position, and why are they important?

To thrive as a Denial Prevention Analyst, you need a strong background in healthcare billing, insurance claims, and data analysis, typically supported by an associate or bachelor’s degree in a related field. Familiarity with medical billing software, electronic health records (EHR) systems, and industry-standard coding (such as ICD-10 and CPT), as well as certifications like Certified Professional Coder (CPC), are highly valuable. Strong attention to detail, problem-solving skills, and effective communication are key soft skills for collaborating with healthcare providers and payers. These abilities are crucial for analyzing claim denials, identifying trends, and implementing strategies to reduce revenue loss and improve process efficiency.

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Infographic showing various Denial Prevention Analyst job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 71% Full Time, 24% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $80,750 per year, or $38.8 per hour.

CPC Denials Escalation Analyst

Allied Digestive Health

West Long Branch, NJ • On-site

$30 - $34/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 24 days ago


Allied Digestive Health rating

8.0

Company rating: 8.0 out of 10

Based on 7 frontline employees who took The Breakroom Quiz


Job description

CPC Denials Escalation Analyst


We are hiring for a CPC Denials Escalation Analyst at our Central Business Office in West Long Branch, NJ

Summary:

This position requires strong expertise in coding guidelines, payer policy, denials management, and claims processing. The CPC Denials Escalation Analyst will serve as a subject-matter expert on denied-claim escalations, contribute to denial-prevention strategies, perform chart reviews, and ensure claims are properly adjudicated for payment. The role supports complex A/R projects, denial coding reviews, and compliance audits while maintaining productivity and quality standards aligned with regulatory and organizational requirements.


Essential Responsibilities:

The responsibilities of the CPC Denials Escalation Analyst will include:

• Master claim denials and claims processing to support denial prevention strategies and drive claim resolution to payment.

• Review coding-related denials for potential correction and resubmission.

• Work assigned high-level A/R projects and complex claim investigations.

• Maintain adherence to quality and productivity standards established by the organization and industry guidelines.

• Follow up on escalated or project-related claims, working no fewer than 65–70 claims per day.

• Identify denial and payer trends and communicate findings to AR management.

• Conduct follow-up with Medicare and Commercial insurance payers on escalated claims.

• Assist in identifying the need for payer policy updates or process changes to support regulatory compliance and claim payment.

• Participates in special projects as assigned.

• Any other duties as assigned.


Education and Experience Required:

CPC, CPB, or AHIMA associate's degree

• 5+ years Revenue Cycle Management experience

• Strong understanding of CPT, HCPCS, accounts receivable, and charge capture workflows

• Experience with Athena, Epic, or comparable PM/EHR systems


We offer competitive base salary, generous benefits, including Medical, Dental, Vision, Life Insurance, Voluntary, Time-Off Benefits, EAP, 401K and Commuter Benefits.




Monday-Friday 8:30am-5:00pm

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