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Intern Denial Prevention Analyst Jobs (NOW HIRING)

Develops and implements action plans for denial prevention based on root cause analysis findings. Promotes revenue cycle operational efficiency, data integrity and compliance with billing and ...

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Senior Director, Patient Access

Blue Ash, OH · On-site

$69.23 - $72.12/hr

Drive performance around registration accuracy, point-of-service collections, authorization workflows, and denial prevention * Analyze operational and financial data to identify trends and ...

Appeals Manager

Bronx, NY · On-site

$91K - $93K/yr

... for denial prevention based on identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and ...

Appeals Manager

Bronx, NY

$23 - $28.25/hr

... for denial prevention based on identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and ...

Showing results 41-60

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Clinical Documentation Integrity Specialist

UCLA Health

Los Angeles, CA • On-site, Remote

$100K - $218K/yr

Full-time

Posted 16 days ago


UCLA Health rating

8.7

Company rating: 8.7 out of 10

Based on 136 frontline employees who took The Breakroom Quiz

6th of 887 rated healthcare providers


Job description

General Information
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Work Location: Los Angeles, CA, USA
Onsite or Remote
Fully Remote
Work Schedule
Monday - Friday, 6:00 AM - 3:00 PM PST
Posted Date
07/21/2026
Salary Range: $100161.36 - 218718 Annually
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
31911
Primary Duties and Responsibilities
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Make a positive impact on one of the nation's top health systems. Help ensure the efficient delivery of award-winning patient care. Take your professional expertise to the next level. UCan do all this and more at UCLA Health.
You will become a member of our highly successful Clinical Documentation Integrity and Denial Management team, including all modalities. This role involves daily review of high-acuity patient records to identify potential and active payer denials, assess clinical validity, and to support denial prevention, analysis, and appeals across inpatient and outpatient settings; continuously communicating with department staff; educating physicians, residents, and mid-levels; and assisting with appropriate documentation strategies.
Partnering with Medical Coding, Clinical Documentation Integrity, Case Management, and the Quality team, you will gather/analyze information to provide comprehensive medical record documentation that accurately reflects clinical treatment, decisions, and diagnoses. Leveraging your denial management experience, clinical expertise, and coding knowledge to identify opportunities and ensure accuracy and completeness of clinical documentation for denial prevention. You will prepare and submit high quality appeal letters supported by clinical evidence, regulatory guidelines, and payor-specific medical necessity criteria, while identifying denial trends and root causes and provide feedback to the CDI and Clinical teams.
Salary Range: $100,161.36 - $218,718.00/year
Job Qualifications
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We're seeking a detail-oriented, collaborative, self-directed individual with:
• Bachelor's degree in health-related field, preferred
• A Registered Nurse (RN) license or MD diploma (or equivalent) required
• Three or more years of Clinical Documentation Integrity experience required, preferably at an AMC
• Knowledge of coding guidelines and coding clinic, required
• Knowledge of laws, rules and regulations regarding appropriate clinical documentation for Medicare, Medi-Cal, CCS etc.
• Strong leadership, supervisory, and training skills
• Excellent critical thinking abilities
• Experience working within EPIC and 3M 360 Encompass CAC, required
• Resourcefulness and strong communication, organizational, and analytical skills
• Ability to work effectively with physician/staff and interdisciplinary teams
• Computer proficiency and proficiency in Word, Excel and PowerPoint, required
• Skill in abstracting/interpreting medical information from patient records, required
• Clinical experience sufficient to understand and communicate medical diagnoses and courses of treatment to professional and non-professional personnel, required
• Knowledge of computer word processing, database programs, and ability to write reports and do graphical analysis, required
Note: Skills may be subject to test.
As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Current/former UC employees are subject to a personnel file review.

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About UCLA Health

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UCLA Health, operating within the healthcare industry, is significantly recognized for its commitment to improving the health and wellbeing of people through the integration of patient care, research, and education. Located in Los Angeles, California, UCLA Health was founded and associated with the University of California, Los Angeles (UCLA) in 1955, entrenching its roots in quality healthcare service provision. Through a broad range of medical services, UCLA Health significantly stands as a cornerstone for comprehensive outpatient, inpatient, and emergency care services, specialized treatments, and wellness checks. Notable for pioneering an integrated, comprehensive medical approach, UCLA Health is consistently ranked among the top health systems in the US and world.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Los Angeles, CA, US

Year founded

1955