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Remote Denial Prevention Analyst Jobs (NOW HIRING)

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Remote Denial Prevention Analyst information

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$33K

$80.8K

$105.5K

How much do remote denial prevention analyst jobs pay per year?

As of Sep 5, 2026, the average yearly pay for remote denial prevention analyst in the United States is $80,750.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,000.00 and $91,000.00 per year, depending on experience, location, and employer.

What is the difference between Remote Denial Prevention Analyst vs Remote Claims Specialist?

AspectRemote Denial Prevention AnalystRemote Claims Specialist
Primary FocusPreventing claim denials through analysis and process improvementsProcessing and adjudicating insurance claims
Required CredentialsKnowledge of insurance policies, certifications like CPC or CPC-A beneficialSimilar credentials, often CPC or medical billing certifications
Work EnvironmentRemote, healthcare or insurance companiesRemote, insurance or healthcare organizations
Industry UsageInsurance, healthcare, medical billingInsurance, healthcare, medical billing

The Remote Denial Prevention Analyst focuses on analyzing claims to prevent denials, while the Remote Claims Specialist handles processing and resolving claims. Both roles require similar credentials and work environments, but their core responsibilities differ in focus and daily tasks.

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Remote Denial Prevention Analyst jobs near you
Infographic showing various Remote Denial Prevention Analyst job openings in the United States as of August 2026, with employment types broken down into 82% Full Time, and 18% Contract. Highlights an 100% Remote job distribution, with an average salary of $80,750 per year, or $38.8 per hour.

Denial Recovery Coding Analyst | Enterprise Denials

UF Health

Gainesville, FL • Remote

Full-time

Re-posted 27 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 assigned work queues, including claim resubmissions, authorization verification, payer reprocessing, reconsiderations, and appeals
  • Partners closely with Managed Care and payers to reduce denials and improve reimbursement outcomes
  • Analyzes denial trends and develops recommendations to improve coding accuracy and documentation practices
  • Meets established productivity and accuracy standards, including reviewing approximately 30 accounts per day with a 98% accuracy rate
  • Applies coding guidelines (NCCI, ICD-10, CPT, HCPCS, CMS) to accurately review, code, and correct accounts
  • Collaborates with department managers to track, report, and resolve denials, including participating in audits and compliance reviews
  • Identifies root causes of denials, tracks trends, and escalates findings to leadership for follow-up and process improvement
  • Works across multiple payer work queues, including Medicare, Medicaid, government, and commercial payers
  • Research denials related to authorization, medical necessity, non-covered services, coding, and billing issues, ensuring timely resolution and appeal submission
  • Prepares and submits detailed, well-supported reconsiderations and appeals based on medical record review and payer requirements
  • Monitors payer communications and policy updates to identify risks impacting reimbursement and authorization requirements
  • Reviews and corrects coding, including modifier usage, diagnosis sequencing, and compliance with coding guidelines
  • Reviews and adjusts charges as needed based on documentation, billing, and regulatory standards
  • Educates departments on denial prevention strategies, including improvements in coding, charging, and authorization processes

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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