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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 ... Reviews EPIC work queues daily for Denial management and makes necessary and appropriate coding ...

cumed

Medical Coding Denial Specialist

Boulder, CO · Remote

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

REVASCENT LLC

AR Specalist

Meridian, ID · On-site +1

$18 - $25/hr

Position Summary The Denial Management Specialist is responsible for reviewing, analyzing, and ... Remote or hybrid based on company structure. * May require occasional payer calls or joint review ...

AppCast

Accounts Receivable Representative

Manhattan, NY · Remote

$21 - $26.50/hr

Ability to work independently in a remote environment. Preferred Qualifications: 2+ years of AR follow-up or denial management experience. Experience with payer portals and claim resolution workflows.

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How much do remote denial management jobs pay per hour?

As of May 31, 2026, the average hourly pay for remote denial management in the United States is $30.69, according to ZipRecruiter salary data. Most workers in this role earn between $30.05 and $30.05 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Denial Management Specialist, 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 are some common challenges faced in a Remote Denial Management role, 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 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 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.

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What cities are hiring for Remote Denial Management jobs? Cities with the most Remote Denial Management job openings:
What are the most commonly searched types of Denial Management jobs? The most popular types of Denial Management jobs are:
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What job categories do people searching Remote Denial Management jobs look for? The top searched job categories for Remote Denial Management jobs are:
Remote Denial Management jobs near you
Infographic showing various Remote Denial Management job openings in the United States as of May 2026, with employment types broken down into 8% Internship, 15% As Needed, 8% Full Time, 15% Temporary, and 54% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $63,838 per year, or $30.7 per hour.
Coding Denial Specialist

Coding Denial Specialist

Akron Children's Hospital

Akron, OH • On-site, Remote

$18 - $23/hr

Full-time

Posted 16 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 990 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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