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Remote Denial Management Jobs in California (NOW HIRING)

Deloitte

Epic Denials Management Operator

San Jose, CA · Remote

$21 - $28.25/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

Sacramento, CA · Remote

$19.25 - $25.50/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

San Diego, CA · Remote

$19 - $25.50/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

Costa Mesa, CA · Remote

$19.25 - $25.75/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

Los Angeles, CA · Remote

$19.50 - $25.75/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

Fresno, CA · Remote

$17.75 - $23.75/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

Monterey, CA · Remote

$20 - $26.50/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

Inglewood, CA · Remote

$18.75 - $25/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

San Francisco, CA · Remote

$21.25 - $28.25/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

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Remote Denial Management information

What is remote denial management?

Remote denial management refers to the process of identifying, analyzing, and resolving insurance claim denials from a remote location, typically using digital tools and secure internet connections. Professionals in this role work to ensure that healthcare providers are reimbursed for their services by investigating the reasons for denials, appealing claims, and implementing strategies to reduce future denials. This job is crucial for maintaining healthy cash flow in medical practices and hospitals, and it often involves strong analytical, communication, and problem-solving skills.

What are some common challenges faced in remote denial management, and how can they be addressed?

Remote Denial Management professionals often encounter challenges such as limited access to physical records, communication delays with payers or healthcare providers, and navigating various billing systems. To address these, it's important to develop strong digital organizational skills, maintain clear and proactive communication with team members and external parties, and stay updated on payer policies and denial trends. Leveraging robust denial management software and collaborating with other revenue cycle teams can also help overcome these obstacles and improve claim resolution rates.

What are the key skills and qualifications needed to thrive in remote denial management, and why are they important?

To thrive as a Remote Denial Management Specialist, you need a strong understanding of medical billing, insurance claims processing, and healthcare regulations, often backed by experience in revenue cycle management or a related certification. Familiarity with denial management software, electronic health records (EHRs), and payer portals is essential for efficiently tracking and resolving claim denials. Attention to detail, excellent communication, and problem-solving abilities help specialists effectively appeal denials and collaborate with providers and payers. These competencies are crucial to ensure accurate reimbursement, reduce revenue loss, and maintain compliance in a remote healthcare environment.

What is the difference between Remote Denial Management vs Remote Claims Processing?

AspectRemote Denial ManagementRemote Claims Processing
Primary FocusHandling claim denials, appeals, and resolutionProcessing and submitting insurance claims
Skills & CertificationsKnowledge of insurance policies, denial codes, and appeals processesAttention to detail, data entry, basic insurance knowledge
Work EnvironmentHealthcare providers, insurance companies, remoteHealthcare providers, insurance companies, remote
Industry UsageCommon in medical billing and revenue cycle managementCommon in medical billing and claims submission

Remote Denial Management focuses on resolving denied claims through appeals and follow-up, while Remote Claims Processing involves submitting and managing insurance claims. Both roles require insurance knowledge and are vital in healthcare revenue cycle management, but they differ in their primary responsibilities and workflow.

What are popular job titles related to Remote Denial Management jobs in California?

For Remote Denial Management jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Denial Management jobs in California look for?

The top searched job categories for Remote Denial Management jobs in California are:

What cities in California are hiring for Remote Denial Management jobs?

Cities in California with the most Remote Denial Management job openings:

Remote Denial Management jobs near you
Infographic showing various Remote Denial Management job openings in California as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Clinical Documentation Integrity Specialist

UCLA Health

Los Angeles, CA • On-site, Remote

$100K - $218K/yr

Full-time

Re-posted 11 days ago

UCLA Health rating

8.7

Company rating: 8.7 out of 10

Based on 137 frontline employees who took The Breakroom Quiz

6th of 898 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: $47.97 - 104.75 Hourly
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
31866
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

Sourced by ZipRecruiter

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

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