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Revenue Cycle Denials Analyst Jobs in Springfield, MA

Baystate Health

Senior Financial Analyst

Springfield, MA · Hybrid

$85K - $106K/yr

Revenue Cycle & Operational Support * Partner with Revenue Cycle and Practice Billing Office teams ... Analyze provider productivity and compensation compared to national benchmarks. * Support incentive ...

Baystate Health

Senior Financial Analyst

Springfield, MA · On-site

$85K - $106K/yr

Revenue Cycle & Operational Support * Partner with Revenue Cycle and Practice Billing Office teams ... Analyze provider productivity and compensation compared to national benchmarks. * Support incentive ...

River Valley Counseling

Director of Finance

Springfield, MA · On-site

$110K - $125K/yr

Revenue Cycle Management * Provide strategic oversight of RVCC's revenue cycle function, including ... Analyze funding restrictions and allowable costs to maximize appropriate program resources, and ...

Connecticut Children's

Pharmacy Business Manager

Hartford, CT · On-site

$65.50 - $77.25/hr

... Analytics, Systems, and Financial Optimization-15% * Oversees 340B operational workflows ... Collaborates with pharmacy, finance, revenue cycle, information technology, and supply chain teams ...

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All JobsRevenue Cycle Denials Analyst JobsRevenue Cycle Denials Analyst Jobs in Springfield, MA

Revenue Cycle Denials Analyst information

See Springfield, MA salary details

$15

$31

$55

How much do revenue cycle denials analyst jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for revenue cycle denials analyst in Springfield, MA is $31.49, according to ZipRecruiter salary data. Most workers in this role earn between $22.26 and $35.91 per hour, depending on experience, location, and employer.

What is a revenue cycle denials analyst?

A Revenue Cycle Denials Analyst is a healthcare professional responsible for reviewing and analyzing denied insurance claims to identify trends, root causes, and opportunities for process improvement. They work to minimize future denials by collaborating with billing, coding, and clinical teams, and implementing corrective actions or recommending policy changes. Their goal is to maximize the healthcare provider's reimbursement by ensuring accurate claims submission and facilitating the appeal process for denied claims.

What skills and qualifications are needed to thrive as a revenue cycle denials analyst?

To thrive as a Revenue Cycle Denials Analyst, you need a strong understanding of healthcare billing, coding, and denial management, often supported by a degree in health information management or related experience. Familiarity with claims processing systems, electronic health records (EHRs), and denial management software is typically required. Analytical thinking, attention to detail, and strong communication skills help analysts investigate denial trends and collaborate with clinical and billing teams. These competencies are crucial for reducing lost revenue, ensuring compliance, and improving the financial performance of healthcare organizations.

What are the most common challenges faced by a revenue cycle denials analyst, and how can they be addressed?

A Revenue Cycle Denials Analyst often encounters challenges such as identifying root causes of claim denials, navigating complex payer guidelines, and communicating effectively with both clinical and billing teams. To address these, analysts typically leverage data analysis tools to spot denial trends, keep up-to-date with payer policies, and collaborate closely with departments to implement corrective actions. Building strong relationships with team members and regularly participating in training sessions can also help stay ahead of industry changes and improve denial resolution rates.

What is the difference between Revenue Cycle Denials Analyst vs Insurance Claims Specialist?

AspectRevenue Cycle Denials AnalystInsurance Claims Specialist
CredentialsTypically requires a healthcare or billing certification, high school diploma or equivalentOften requires similar certifications or experience in insurance billing
Work EnvironmentHealthcare facilities, billing departments, or revenue cycle management teamsInsurance companies, healthcare providers, or billing agencies
Primary FocusIdentifying, appealing, and resolving denied claims to maximize revenueSubmitting, tracking, and managing insurance claims for reimbursement
Common UsageRevenue cycle management, healthcare billing, revenue recoveryInsurance billing, claims processing, reimbursement management

The main difference is that Revenue Cycle Denials Analysts focus on resolving denied claims within the revenue cycle, while Insurance Claims Specialists primarily handle the submission and follow-up of insurance claims. Both roles require knowledge of billing processes and insurance policies but differ in their specific responsibilities within the healthcare revenue process.

How do I become a revenue cycle denials analyst?

To become a revenue cycle denials analyst, candidates typically need a background in healthcare administration, medical billing, or coding, along with experience in revenue cycle management. Relevant skills include knowledge of insurance claims, denial management, and proficiency with billing software and electronic health records. Earning certifications such as Certified Revenue Cycle Specialist (CRCS) can enhance job prospects.

What are popular job titles related to Revenue Cycle Denials Analyst jobs in Springfield, MA?

For Revenue Cycle Denials Analyst jobs in Springfield, MA, the most frequently searched job titles are:

What job categories do people searching Revenue Cycle Denials Analyst jobs in Springfield, MA look for?

The top searched job categories for Revenue Cycle Denials Analyst jobs in Springfield, MA are:

What cities near Springfield, MA are hiring for Revenue Cycle Denials Analyst jobs?

Cities near Springfield, MA with the most Revenue Cycle Denials Analyst job openings:

Revenue Cycle Denials Analyst jobs near you
Infographic showing various Revenue Cycle Denials Analyst job openings in Springfield, MA as of August 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 83% In-person, 6% Hybrid, and 11% Remote job distribution, with an average salary of $65,489 per year, or $31.5 per hour.

Coding Manager, 40hrs, Hybrid

TaraVista Behavioral Health

Holyoke, MA • On-site

$83K - $103K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Job description

Join us as a Coding Manager!
Full-Time 40 Hours - Hybrid - 3 days in Auburn, MA office, 2 days remote
The Coding Manager is responsible for the overall leadership, supervision, and daily operations of the hospital coding department. The position ensures accurate, compliant, and timely assignment of ICD-10-CM, ICD-10-PCS, and CPT codes for inpatient hospital and professional services. The Coding Manager oversees coding staff productivity and quality, develops departmental policies and procedures, coordinates coding education, partners with Clinical Documentation Improvement (CDI), Revenue Cycle, and Finance, and ensures compliance with AHIMA, AAPC, CMS, and other regulatory requirements.
As a Coding Manager:
  • Directly supervise, mentor, train, and evaluate coding staff.
  • Establish productivity, quality, and accuracy standards and monitor performance.
  • Conduct regular coding quality reviews, audits, and corrective action plans.
  • Develop, implement, and maintain coding policies, procedures, and workflows.
  • Serve as the department subject matter expert for ICD-10-CM, ICD-10-PCS, CPT, UHDDS, and behavioral health coding guidelines.
  • Monitor regulatory and payer changes and educate staff on updates.
  • Oversee timely coding to support DNFB reduction and revenue cycle goals.
  • Partner with the CFO, HIM, CDI, Patient Financial Services, Compliance, and Medical Staff to improve documentation and reimbursement.
  • Manage TruBridge encoder configuration and coding resources; support WellSky workflow optimization.
  • Coordinate internal and external coding audits and implement recommendations.
  • Analyze coding trends, denials, case mix, and productivity metrics; prepare reports for leadership.
  • Assist with budget planning, staffing, recruitment, onboarding, and performance management.
  • Maintain compliance with ethical coding standards and hospital policies.
  • Perform complex coding as needed during staffing shortages or high-volume periods.

Successful Coding Managers will have the following:
  • Strong leadership, coaching, and communication skills.
  • Associate's or Bachelor's degree in Health Information Management or related field preferred.
  • RHIA, RHIT, CCS, CCS-P, CPC, or equivalent AHIMA/AAPC credential required.
  • Minimum 5 years of hospital coding experience, including behavioral health preferred.
  • Minimum 2 years of coding leadership or supervisory experience preferred.
  • Experience with TruBridge encoder, WellSky EMR, and coding audit processes preferred.
  • Expert knowledge of ICD-10-CM, ICD-10-PCS, CPT, behavioral health coding, and Medicare reimbursement.
  • Knowledge of coding compliance, revenue cycle, and denial management.
  • Ability to analyze productivity and quality metrics and lead process improvement.

When you join the growing TaraVista team, you're not just taking a job, you're making a difference in people's lives.As our team member, you'll receive:
  • Medical, Dental, and Vision
  • 401(k) match
  • Employer paid short term disability (STD)
  • Employer paid life and AD&D Insurance
  • Generous Paid Time Off
  • Flexible Spending Account
  • Tuition Reimbursement

Pay Range $83,000 - 103,000
Compensation will be determined based on the candidate's relevant experience.
TaraVista is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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