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Remote Denial Analyst Jobs (NOW HIRING)

Akron Children's Hospital

Coding Denial Specialist

Akron, OH · On-site +1

$18 - $23/hr

Full-time, 40 hours/week Monday-Friday 8am-4:30pm Remote Summary: The Denial Coding Specialist ... Develops suggestions for coding and documentation process improvements, based on denial analysis ...

Workforce Connections

Denial Specialist

Saint Louis, MO · Remote

$22.47/hr

Denial Specialist (Remote) Pay Rate: $22.47/hr Remote: Must reside in US Schedule: Tuesday-Saturday ... Coordinate data collection, analysis, and reporting related to the denial process. * Monitor ...

Nationwide Credit & Collection Inc.

Be Seen First

Denial Management Specialist

Oak Brook, IL · Remote

$22 - $25/hr

... Able to analyze EOBs at a claim level · Identifies claims needing correction and forwards to ... a remote setting · Strong organizational skills Experience Preferred: · 2 years previous ...

Workforce Connections

Denial Specialist

Saint Louis, MO · Remote

$22.47/hr

Denial Specialist (Remote) Pay Rate: $22.47 per hour Schedule: Multiple shifts available (details ... Collect, analyze, and report data that impacts the denial process. * Support tracking and logging ...

Mercor

Appeals Manager - AI Trainer

Dallas, TX · Remote

$70 - $93/hr

Remote Role Responsibilities * Lead denials management and appeals operations. Oversee ... Evaluate AI-generated appeal letters, denial root cause analyses, and denial prevention ...

Vital Connect Inc

Denial Management Specialist

CA · Remote

This is a fully remote role** Responsibilities * Comprehensive research and review to resolve payer ... Possesses proven analytical and decision-making skills to determine what selective clinical ...

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Remote Denial Analyst information

What is a remote denial analyst?

Remote Denial Analysts are professionals who review and analyze denied insurance claims from a remote location. Their primary responsibility is to identify the reasons for claim denials, gather necessary documentation, and communicate with insurance companies to resolve issues. They work with healthcare providers, billing departments, and payers to ensure that claims are processed correctly and payments are obtained. Remote Denial Analysts play a crucial role in improving the financial performance of healthcare organizations by minimizing lost revenue due to denied claims.

What skills and qualifications are needed to thrive as a remote denial analyst?

To thrive as a Remote Denial Analyst, you need a solid understanding of medical billing, insurance claims processes, and healthcare regulations, typically with experience in revenue cycle management or a related field. Familiarity with electronic health record (EHR) systems, claims management software, and knowledge of ICD-10/CPT coding are essential, and certifications like Certified Professional Coder (CPC) can be advantageous. Strong analytical thinking, attention to detail, and effective communication skills help you investigate claim denials and collaborate with providers and payers. These abilities are crucial for maximizing reimbursement, reducing claim denials, and supporting the financial health of healthcare organizations.

What are common challenges faced by remote denial analysts and how can they be managed?

Remote Denial Analysts often encounter challenges such as incomplete documentation, unclear denial reasons, and delays in obtaining additional information from providers or payers. Managing these challenges requires strong analytical skills, attention to detail, and effective communication with both internal teams and external stakeholders. Proactive follow-up, staying updated on payer policies, and leveraging denial management software can help streamline the process and improve resolution rates, even when working remotely.

What is the difference between Remote Denial Analyst vs Remote Claims Processor?

AspectRemote Denial AnalystRemote Claims Processor
Primary RoleReview and analyze insurance claim denials to determine validity and suggest resolutions.Process and review insurance claims for accuracy, completeness, and approval.
Required CredentialsKnowledge of insurance policies, claims processing, and denial reasons; certifications like CPC or CPC-H are common.Basic understanding of insurance claims; certifications are often similar but less specialized.
Work EnvironmentRemote, often in healthcare or insurance companies, focusing on claims review.Remote or office-based, handling claims data and customer interactions.

While both roles involve insurance claims, the Remote Denial Analyst specializes in reviewing denied claims to identify issues, whereas the Remote Claims Processor handles the overall processing and approval of claims. The Denial Analyst requires more expertise in denial reasons and related certifications, making it a more analytical role focused on resolution.

More about Remote Denial Analyst jobs

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Remote Denial Analyst jobs near you
Infographic showing various Remote Denial Analyst job openings in the United States as of August 2026, with employment types broken down into 93% Full Time, and 7% Contract. Highlights an 100% Remote job distribution.

Denial Recovery Coding Analyst | Revenue Integrity

Gainesville, FL • Remote

UF Health
Health Care and Social Assistance • 10K+ employees
Learn more about UF Healthexternal

Full-time

Re-posted 25 days ago

Job description

Overview

Work remotely while using your denial management expertise to make a direct impact on healthcare operations.

???? Work Style: Remote
???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or TX)
???? FTE: Full-Time (1.0 FTE)

Responsible for maintaining low denial rates and optimizing reimbursement across the enterprise by ensuring high coding standards and effective denial management practices. Leads and supports initiatives to improve coding accuracy, reimbursement outcomes, and appeal turnaround times.

Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies opportunities for performance improvement and implements strategies to enhance revenue cycle outcomes.

Educates departments on appropriate charging, billing, and coding practices to ensure regulatory compliance. Collaborates with Managed Care, Compliance, and operational teams to resolve complex issues with departments and payers, driving sustainable improvements in reimbursement and denial prevention.


Responsibilities

Key Responsibilities:

  • Manages clinical denials from clinical denial workqueues including claim resubmission, authorization verification, payer claim reprocessing, claim reconsiderations, and appeals.
  • Works closely with managed care teams and payers to reduce denials and increase reimbursement.
  • Develops recommendations for coding and documentation process improvements based on denial analysis and coding guidelines.
  • Completes assigned work within established productivity and accuracy standards, including processing assigned denial workqueues while maintaining quality expectations.
  • Uses coding software, NCCI, ICD-10, CPT, HCPCS, and CMS coding guidelines to accurately review, code, and correct accounts.
  • Collaborates with department managers to report, track, and resolve denials. Assists with investigations and audits to identify, correct, trend, and report charging, coding, and billing compliance issues.
  • Manages assigned payer workqueues including Medicare, Medicaid, government payers, commercial payers, Medicare Advantage plans, and other payer types.
  • Researches payer denials related to authorization, medical necessity, non-covered services, coding, and billing, and initiates timely reconsiderations and appeals to prevent filing denials.
  • Prepares detailed, customized reconsiderations and appeals based on medical record review and organizational policies and procedures.
  • Identifies denial trends and escalates root cause findings to management for additional follow-up and process improvement.
  • Reviews payer communications to identify reimbursement risks related to medical policies, coverage requirements, and prior authorizations.
  • Reviews and corrects coding, modifiers, diagnosis sequencing, and charges in accordance with coding, charging, and billing guidelines.
  • Partners with departments to educate staff and improve documentation, coding, charging, and authorization processes to reduce denials and improve reimbursement.
 
 
 

Qualifications

Minimum Qualifications:

  • High School Diploma or GED required
  • One of the following coding certifications required: CPC, COC, RHIT, RHIA, or CCS
  • 1–2 years of coding experience, along with 1–2 years of denial management and/or insurance-related experience

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