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Denials Analyst Jobs (NOW HIRING)

Primary responsibilities of the position include identifying, appealing and monitoring payer denials, and collecting third party contractual underpayments. Analysis of the data, communication of ...

Primary responsibilities of the position include identifying, appealing and monitoring payer denials, and collecting third party contractual underpayments. Analysis of the data, communication of ...

Primary responsibilities of the position include identifying, appealing and monitoring payer denials, and collecting third party contractual underpayments. Analysis of the data, communication of ...

As our Performance Management Denials Analyst Standardization Lead, you will help reduce preventable claim denials by identifying clinical, coding, and process-driven root causes that negatively ...

Denials Analyst FT

Gibson City, IL · On-site

$20 - $26/hr

REPORTING RELATIONSHIP Reports to Clinical Denials Manager EDUCATION, KNOWLEDGE, AND ABILITIES ... Requires analytical skills to evaluate claims for errors in billing and payment from payers. 9. ...

Research complex outpatient coding denials. Conducts risk-based coding compliance audits and ad hoc audits of outpatient encounters to validate code assignment is in compliance with the official ...

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Denials Analyst information

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$15

$25

$44

How much do denials analyst jobs pay per hour?

As of Jun 25, 2026, the average hourly pay for denials analyst in the United States is $25.60, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $27.16 per hour, depending on experience, location, and employer.

What are Denials Analysts?

Denials Analysts are professionals in the healthcare industry who review, investigate, and resolve denied insurance claims. They analyze the reasons for claim denials, communicate with insurance companies, and work to recover payments for healthcare providers. Their role is crucial in identifying patterns of denial, reducing future denials, and ensuring accurate reimbursement for medical services. Denials Analysts often collaborate with billing teams, coders, and clinical staff to improve claims processes and maintain compliance with payer requirements.

What are some common challenges faced by Denials Analysts, and how can they be addressed?

Denials Analysts often face the challenge of navigating complex insurance policies and understanding the reasons behind claim denials. Staying up to date with payer requirements and regulations is essential, as these can change frequently. Collaboration with billing teams and clinical staff is key to gathering necessary documentation and resolving denials efficiently. To address these challenges, strong communication skills and continuous training in industry updates are highly beneficial.

What are the key skills and qualifications needed to thrive as a Denials Analyst, and why are they important?

To thrive as a Denials Analyst, you need a solid understanding of medical billing, insurance claims processes, and healthcare regulations, often supported by a degree in health administration or related field. Familiarity with claims management software, electronic health records (EHRs), and payer portals is typically required, along with knowledge of ICD-10 and CPT coding. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for investigating denials and collaborating with internal teams. These abilities help ensure accurate claims processing, minimize revenue loss, and support the financial health of healthcare organizations.

What is the difference between Denials Analyst vs Claims Specialist?

AspectDenials AnalystClaims Specialist
CredentialsTypically requires healthcare or insurance-related certifications, such as CPC or CCSOften requires similar certifications, with additional focus on claims processing
Work EnvironmentWorks in healthcare or insurance offices, analyzing denied claimsWorks in insurance or healthcare settings, processing and reviewing claims
Employer & IndustryHospitals, insurance companies, healthcare providersInsurance companies, healthcare providers, third-party administrators

Both roles involve working with healthcare claims, but Denials Analysts focus on investigating and resolving denied claims, while Claims Specialists handle the processing and submission of claims. Understanding these differences helps job seekers identify the right career path in healthcare and insurance industries.

More about Denials Analyst jobs
What states have the most Denials Analyst jobs? States with the most job openings for Denials Analyst jobs include:
Infographic showing various Denials Analyst job openings in the United States as of June 2026, with employment types broken down into 94% Full Time, 1% Part Time, and 5% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $53,239 per year, or $25.6 per hour.
Coding/CDI Denials Analyst - CCDS

Coding/CDI Denials Analyst - CCDS

UT Southwestern Medical Center

Dallas, TX • On-site

Full-time

Medical, Retirement, PTO

Posted 13 days ago


UT Southwestern rating

7.8

Company rating: 7.8 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

107th of 875 rated healthcare providers


Job description

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
The Coding/CDI Denials Analyst primary responsibilities are to review coding denials for inpatient hospital medical records, for accuracy of assigned codes, and ensure all Official Coding Guidelines and conventions were followed. Also, to ensure the clinical evidence and provider documentation supports the assigned codes and DRG.Compose and submit appeal letters as appropriate, identify coding trends/opportunities for root causes of denials, which would be relevant for additional education to individual Coders/CDI Specialist's and/or the entire Coding/CDI Teams. Report these trends/opportunities to the Lead Denials Analyst to ensure education is developed and provided to the Coders and/or CDI Teams. Identify and communicate front-end activities that influence the denials/appeals process, seeking opportunities for process improvement.
BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
  • PPO medical plan, available day one at no cost for full-time employee-only coverage
  • 100% coverage for preventive healthcare-no copay
  • Paid Time Off, available day one
  • Retirement Programs through the Teacher Retirement System of Texas (TRS)
  • Paid Parental Leave Benefit
  • Wellness programs
  • Tuition Reimbursement
  • Public Service Loan Forgiveness (PSLF) Qualified Employer
  • Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION
Required
  • Experience
    3 years three to five (3-5) year's acute hospital-based Coding and/or CDI experience or
    An equivalent combination of education and experience may be considered
    Denials and Appeals experience in an acute Hospital setting and
    Experience working in a remote environment
  • Licenses and Certifications
    (RHIA) REGD HEALTH INFO ADMINIST or
    (RHIT) REGD HEALTH INFO TECHNOLO or
    (CCS) CERT CODING SPECIALIST or
    (CCDS) Cert Clinical Documentation or
    (CDIP) CERT DOCUMNTATN IMPROVMNT PRAC
Preferred
  • Experience
    RN with CDI experience

JOB DUTIES
  • Review coding and/or clinical denials, ensuring all coding guidelines and conventions were followed, and ensuring all clinical evidence and provider documentation supports the assigned codes and DRG.
  • Compose an effective appeal utilizing appropriate coding guidelines, relevant and effective clinical documentation, current industry guidelines, evidence-based medicine, and local and national medical management standards and protocols.
  • Identify coding and/or documentation trends for root causes of denials.
  • Identify and communicate DRG changes and financial impact.
  • Identify coding and clinical educational opportunities and report these to the Lead Denials Analyst.
  • Identify front-end activities that influence denial/appeals process.
  • Support the Quality Standards set by UTSW and the HIM Coding & CDI Department.
  • Maintains an expert level of knowledge of Coding/CDI guidelines and practices.
  • Other duties as assigned.
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. To the extent this position requires the holder to research, work on, or have access to critical infrastructure as defined in Section 113.001(2) of the Texas Business and Commerce Code, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification to be hired and to continue to be employed in the position.
EEO Statement
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

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