Remote ???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or ... Educates departments on denial prevention strategies, including improvements in coding, charging ...
Remote ???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or ... Educates departments on denial prevention strategies, including improvements in coding, charging ...
Denial Analytics & Prevention * Analyze denial trends, payer behaviors, and root causes to identify ... Remote * Frequently required to sit; regularly required to talk/hear; regular use of computer and ...
Denial Analytics & Prevention * Analyze denial trends, payer behaviors, and root causes to identify ... Remote * Frequently required to sit; regularly required to talk/hear; regular use of computer and ...
Remote ???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or ... Educates departments on denial prevention strategies, including improvements in coding, charging ...
Remote ???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or ... Educates departments on denial prevention strategies, including improvements in coding, charging ...
Senior Denials Prevention Process Improvement Advisor
$69K - $104K/yr
The Denial Prevention Process Improvement Advisor leads the performance of deep dive analysis on ... This is a remote position; however, candidates must be willing and able to travel to and work ...
Senior Denials Prevention Process Improvement Advisor
$69K - $104K/yr
The Denial Prevention Process Improvement Advisor leads the performance of deep dive analysis on ... This is a remote position; however, candidates must be willing and able to travel to and work ...
Remote Role Responsibilities * Lead denials management and appeals operations. Oversee the ... Evaluate AI-generated appeal letters, denial root cause analyses, and denial prevention ...
Quick apply
Apply Early
Remote Role Responsibilities * Lead denials management and appeals operations. Oversee the ... Evaluate AI-generated appeal letters, denial root cause analyses, and denial prevention ...
Apply Early
PB Denial Specialist - EPIC
TX · Remote
$19.25 - $24.50/hr
... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.
PB Denial Specialist - EPIC
TX · Remote
$19.25 - $24.50/hr
... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.
Coding Denial Resolution Specialist
$21 - $24/hr
... remote position . Job Overview: The Coding Denial Resolution Specialist I plays a vital role in ... This position helps prevent lost reimbursements and supports denial prevention efforts. This role ...
Coding Denial Resolution Specialist
$21 - $24/hr
... remote position . Job Overview: The Coding Denial Resolution Specialist I plays a vital role in ... This position helps prevent lost reimbursements and supports denial prevention efforts. This role ...
PB Denial Specialist - EPIC
TN · Remote
$19.25 - $24.50/hr
... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.
PB Denial Specialist - EPIC
TN · Remote
$19.25 - $24.50/hr
... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.
... prevention. This role applies expertise in payer requirements, government regulations, and appeal ... Provides reporting, analysis, and coordination support for the Denial Steering Committee and Task ...
... prevention. This role applies expertise in payer requirements, government regulations, and appeal ... Provides reporting, analysis, and coordination support for the Denial Steering Committee and Task ...
PB Denial Specialist - EPIC
LA · Remote
$19.25 - $24.50/hr
... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.
PB Denial Specialist - EPIC
LA · Remote
$19.25 - $24.50/hr
... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.
PB Denial Specialist - EPIC
GA · Remote
$19.25 - $24.50/hr
... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.
PB Denial Specialist - EPIC
GA · Remote
$19.25 - $24.50/hr
... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.
PB Denial Specialist - EPIC
KY · Remote
$19.25 - $24.50/hr
... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.
PB Denial Specialist - EPIC
KY · Remote
$19.25 - $24.50/hr
... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.
PB Denial Specialist - EPIC
AL · Remote
$19.25 - $24.50/hr
... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.
PB Denial Specialist - EPIC
AL · Remote
$19.25 - $24.50/hr
... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.
The Opportunity: The Risk Prevention Analyst is responsible for providing operational risk ... Through a remote-first, flexible environment, we prioritize psychological safety, wellbeing and ...
The Opportunity: The Risk Prevention Analyst is responsible for providing operational risk ... Through a remote-first, flexible environment, we prioritize psychological safety, wellbeing and ...
Company Overview #LI-Remote Shriners Children's is an organization that respects, supports, and ... wide denial prevention strategies. The Senior Analyst serves as a key analytical resource ...
Company Overview #LI-Remote Shriners Children's is an organization that respects, supports, and ... wide denial prevention strategies. The Senior Analyst serves as a key analytical resource ...
Denial Management Specialist
Kirkland, WA · Remote
$28.83 - $46.14/hr
... Remote in Washington State only Posted wage ranges represent the entire range from minimum to ... Communicates with payer representatives, contributes to denial prevention efforts, and adapts to ...
Denial Management Specialist
Kirkland, WA · Remote
$28.83 - $46.14/hr
... Remote in Washington State only Posted wage ranges represent the entire range from minimum to ... Communicates with payer representatives, contributes to denial prevention efforts, and adapts to ...
... Remote in Washington State only Posted wage ranges represent the entire range from minimum to ... Communicates with payer representatives, contributes to denial prevention efforts, and adapts to ...
Quick apply
... Remote in Washington State only Posted wage ranges represent the entire range from minimum to ... Communicates with payer representatives, contributes to denial prevention efforts, and adapts to ...
Denial Management Specialist
Kirkland, WA · Remote
$28.83 - $46.14/hr
... Remote in Washington State only Posted wage ranges represent the entire range from minimum to ... Communicates with payer representatives, contributes to denial prevention efforts, and adapts to ...
Denial Management Specialist
Kirkland, WA · Remote
$28.83 - $46.14/hr
... Remote in Washington State only Posted wage ranges represent the entire range from minimum to ... Communicates with payer representatives, contributes to denial prevention efforts, and adapts to ...
Work Style: Remote ???? Location Requirement: Must reside in Florida or Georgia ???? FTE ... Initiate and follow up on appeals to prevent timely filing denials and ensure optimal reimbursement ...
Work Style: Remote ???? Location Requirement: Must reside in Florida or Georgia ???? FTE ... Initiate and follow up on appeals to prevent timely filing denials and ensure optimal reimbursement ...
Physician Advisor | Remote
Seattle, WA · Remote
$331K - $373K/yr
Lead denial prevention and management, including peer-to-peer discussions and appeals * Support ... Use data and analytics to identify variation in LOS, denial trends, and documentation gaps, and ...
Physician Advisor | Remote
Seattle, WA · Remote
$331K - $373K/yr
Lead denial prevention and management, including peer-to-peer discussions and appeals * Support ... Use data and analytics to identify variation in LOS, denial trends, and documentation gaps, and ...
Remote Denial Prevention Analyst information
See salary details
$33K - $39.6K
5% of jobs
$39.6K - $46.2K
1% of jobs
$46.2K - $52.8K
4% of jobs
$52.8K - $59.4K
0% of jobs
$59.4K - $66K
5% of jobs
$66K - $72.5K
6% of jobs
$74.9K is the 25th percentile. Wages below this are outliers.
$72.5K - $79.1K
7% of jobs
The median wage is $83K / yr.
$79.1K - $85.7K
34% of jobs
$89.8K is the 75th percentile. Wages above this are outliers.
$85.7K - $92.3K
18% of jobs
$92.3K - $98.9K
9% of jobs
$98.9K - $105.5K
10% of jobs
$33K
$80.8K
$105.5K
How much do remote denial prevention analyst jobs pay per year?
What is the difference between Remote Denial Prevention Analyst vs Remote Claims Specialist?
| Aspect | Remote Denial Prevention Analyst | Remote Claims Specialist |
|---|---|---|
| Primary Focus | Preventing claim denials through analysis and process improvements | Processing and adjudicating insurance claims |
| Required Credentials | Knowledge of insurance policies, certifications like CPC or CPC-A beneficial | Similar credentials, often CPC or medical billing certifications |
| Work Environment | Remote, healthcare or insurance companies | Remote, insurance or healthcare organizations |
| Industry Usage | Insurance, healthcare, medical billing | Insurance, 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.

Full-time
Posted 20 days ago
Job description
Work remotely while using your denial management expertise to make a direct impact on healthcare operations.
Turn insights into impact—driving coding accuracy, reducing denials, and maximizing reimbursement across the enterprise.
???? 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
About UF Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Gainesville, FL, US
Year founded
1958