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Denials Analyst Jobs (NOW HIRING)

Medix

Denials Management Supervisor

Buffalo, NY · On-site

$32 - $40/hr

Job Summary Our client is seeking a Denials Analyst responsible for overseeing the daily operations of the denial management team to ensure timely and effective resolution of denied claims. The role ...

BCforward

Denial Specialist

Austin, TX

$17.75 - $23.75/hr

The Denials Analyst will aid in the recovery of Medicaid funds where a third party carrier is responsible for payment, and has not reimbursed the Medicaid program. The Analyst will also assist in ...

Shriners Children's

Denials Management Analyst

Job Overview The Denials Management Analyst is responsible for analyzing denials data, creating payor metrics, as well as tracking and trending denials and result out of multiple systems. The analyst ...

Shriners Children's

Denials Management Analyst

Job Overview The Denials Management Analyst is responsible for analyzing denials data, creating payor metrics, as well as tracking and trending denials and result out of multiple systems. The analyst ...

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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:
What job categories do people searching Denials Analyst jobs look for? The top searched job categories for Denials Analyst jobs are:
Denials Analyst jobs near you
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/Compliance Denials Analyst

Coding/Compliance Denials Analyst

UT Southwestern Medical Center

Dallas, TX • Remote

Other

Medical, Retirement, PTO

Posted 21 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
Develops outpatient coding education. 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 coding guidelines as supported by clinical documentation in health record and payer guidelines.

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
    5 years of coding experience including but not limited to hospital outpatient encounters
    5 years of experience in coding audit or quality review work including but not limited to outpatient encounters
    1 year of experience preparing and delivering education as it relates to audit findings or regulatory guidance to coders and auditors
  • Licenses and Certifications
    (CPC) CERT PROFESSIONAL CODER Upon Hire or
    (CPMA) Cert Prof Medical Auditor Upon Hire or
    (CEMC) Certified E/M Coder Upon Hire or
    (CPC-I) AAPC Approved Instructor Certification Upon Hire
Preferred
  • Education
    Bachelor's Degree in relevant field preferred or combination of equivalent of education and experience

JOB DUTIES
  • Develops outpatient coding education via spreadsheet.
  • Research complex outpatient coding issues related to questions, inquiries, and investigations.
  • Understands, interprets, and applies coding guidelines for risk-based audits.
  • Creates clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating Coders, Auditors, Managers, and Directors throughout the organization.
  • Identifies documentation issues (lacking documentation, missed physician queries, etc.) that impact coding accuracy. Clearly communicates (verbally and in written reports or summaries) opportunities for documentation improvement related to coding issues.
  • Stays current with AHA Official Coding and Reporting Guidelines, CMS, AAPC and other agency directives for ICD-10-CM and CPT coding. Completes online education courses and attends mandatory coding workshops and/or seminars (OPPS ICD-10-CM, and CPT updates) for outpatient coding. Reviews AHA and CPT quarterly coding update publications. Attends all internal conference calls for Quarterly Coding Updates.
  • Performs 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.
EEO
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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