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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 ...

Revecore

Denials Recovery Analyst

Franklin, TN · Remote

US Remote Denial Recovery Analyst Primarily responsible for thorough review of managed care contracts and comparison of such contracts against healthcare claims to identify underpayments for the ...

Revecore Technologies

Denials Recovery Analyst

US Remote Denial Recovery Analyst Primarily responsible for thorough review of managed care contracts and comparison of such contracts against healthcare claims to identify underpayments for the ...

Cartwheel

RCM Operations Analyst (Remote)

Cambridge, MA · On-site +1

$62K - $83K/yr

Remote WHAT YOU'LL DO Denial & Rejection Analysis * Conduct structured analysis of denial and rejection data to identify root causes, payer patterns, and filing limit exposure * Move beyond rework ...

Cartwheel

RCM Operations Analyst (Remote)

Cambridge, MA · Remote

$62K - $83K/yr

Remote WHAT YOU'LL DO Denial & Rejection Analysis * Conduct structured analysis of denial and rejection data to identify root causes, payer patterns, and filing limit exposure * Move beyond rework ...

cumed

Medical Coding Denial Specialist

Boulder, CO · Remote

This position offers the flexibility of being 100% remote, and qualified out-of-state candidates ... Investigate, analyze, and resolve advanced denial categories, including: * CPT and HCPCS coding ...

Nationwide Credit & Collection Inc.

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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 ...

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

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 some 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 are Remote Denial Analysts?

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 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.

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Remote Denial Analyst jobs near you
Infographic showing various Remote Denial Analyst job openings in the United States as of May 2026, with employment types broken down into 14% Full Time, 57% Part Time, and 29% Contract. Highlights an 39% Physical, and 61% Remote job distribution.
Coding Denial Specialist

Coding Denial Specialist

Akron Children's Hospital

Akron, OH • On-site, Remote

$18 - $23/hr

Full-time

Posted 14 days ago

Akron Children's Hospital rating

7.3

Company rating: 7.3 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

345th of 989 rated hospitals

Job description

Full-time, 40 hours/week
Monday-Friday 8am-4:30pm
Remote
Summary:
The Denial Coding Specialist supports the Revenue Recovery team by reviewing claims for coding accuracy and root causes for coding-related denials, as well as proposing process improvements to mitigate future denials. Working closely alongside the Physician Advisor, the Denial Coding Specialist liaises between the Revenue Recovery team and providers, resolving queries for missing documentation and promoting departmental awareness of coding best practices. This position reports to the Revenue Recovery Supervisor.
Responsibilities:
  1. Performs retrospective account reviews and resolves coding denials accordingly.
  2. Analyzes coding-related denials (e.g., bundling issues and inappropriate CPT/diagnoses) to identify trends and root causes
  3. Proactively maintains current knowledge of applicable regulations, requirements, changes, and best practices by following industry sources (e.g., Centers for Medicare & Medicaid Services, American Association of Professional Coders, and professional journals)
  4. Reviews EPIC work queues daily for Denial management and makes necessary and appropriate coding changes based on medical documentation for both professional and technical charge revenue.
  5. Follows up with providers to resolve outstanding queries for additional documentation or diagnosis information
  6. Coordinates and/or completes appeals as applicable with payors.
  7. Develops suggestions for coding and documentation process improvements, based on denial analysis and industry coding guidelines
  8. Extracts data into clear reports to revenue recover and revenue cycle leadership, physician advisor, and providers
  9. Partners with Revenue Cycle team leaders, physicians, and providers to develop and implement process improvements
  10. Provides regular feedback and ad-hoc education to revenue recovery staff and providers to promote departmental knowledge of appropriate coding practices
  11. Other duties as required.

Other information:
Technical Expertise
  1. Experience in CPT and ICD coding is required.
  2. Experience working with all levels within an organization is required.
  3. Experience working in an Electronic Medical Record system preferred
  4. Experience in healthcare is preferred.
  5. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.

Education and Experience
  • Education: High School Diploma or equivalent is required; Bachelor's degree is preferred.
  • Certification: AAPC or AHIMA Coding Certification is required.
  • Years of relevant experience: 0 to 2 years is preferred.
  • Years of experience supervising: None.

Credentials
Essential (minimum one as applicable):
  • American Academy of Professional Coders
  • American Health Information Management Association
  • Certified Provider Credentialing Specialist
  • Certified Coding Specialist
  • Registered Health Information Technician
  • Certified Coding Associate

Full Time
FTE: 1.000000
Status: Remote

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About Akron Children's Hospital

Sourced by ZipRecruiter

Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties are ranked among the nation's best by U.S. News & World Report. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we're making it easier for today's busy families to find the high-quality care they need. In 2020, our health care system provided more than 1.1 million patient encounters. We also operate neonatal and pediatric units in the hospitals of our regional health care partners. Every year, our Children's Home Care Group nurses provide thousands of in-home visits, and our School Health nurses manage clinic visits for students from preschool through high school. With our Quick Care Online virtual visits and Akron Children's Anywhere app, we're here for families whenever and wherever they need us. Learn more at akronchildrens.org.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Akron, OH, US

Year founded

1890

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