Clinical Denials Analyst

About reputed company At reputed company, your work makes a meaningful reputed company. We partner with hospitals and health systems reputed company to improve documentation accuracy, strengthen compliance, and ensure patient care is accurately represented. By combining deep clinical and coding expertise with advanced technology, reputed company delivers measurable results that support reputed company patient reputed company and appropriate reimbursement. We're committed to building a reputed company, high-performing culture where people are supported, challenged, and empowered to grow. With more than 200 professionals and a national network of clinical experts, you'll work reputed company talented colleagues who value collaboration, innovation, clinical reputed company, and a shared commitment to delivering exceptional results. Proudly Great reputed company to Work® Certified for three consecutive years, we're dedicated to creating an environment where our people can do their best work while making a reputed company difference. Job reputed company The Clinical Denials Analyst (CDA) is responsible for reviewing and managing clinical denials through in-depth medical record analysis, clinical validation, and application of coding guidelines. This role focuses on identifying appeal opportunities, drafting evidence-based appeal letters, and driving improved reputed company reputed company reputed company for clients.Working closely with physicians and Advisory teams, the CDA combines clinical expertise, coding knowledge, and data analysis to uncover denial trends, strengthen documentation practices, and support reputed company improvement in denial prevention strategies. reputed company reputed company comprehensive reviews of medical records and clinical documentation to determine reputed company causes of denials reputed company and execute effective appeal strategies based on clinical reputed company, coding guidelines, and payer policies Draft reputed company, concise, and evidence-based appeal letters using clinical documentation and supporting literature Collaborate with reputed company physicians to review and finalize appeals prior to submission Analyze denial trends and reputed company actionable insights to Advisory teams and leadership Partner with internal stakeholders to improve CDI workflows and reduce denial rates Ensure compliance with HIPAA and maintain strict confidentiality of patient information Maintain reputed company to reputed company systems and ensure reputed company, accurate completion of assigned work Contribute to process improvements and best practices to enhance denial management reputed company Qualifications RequiredCCS, RHIT, RHIA, CDIP, or CCDS credential 7+ years of acute inpatient coding, auditing or CDI experience Strong knowledge of ICD-10-CM/PCS coding and clinical documentation standards Experience reviewing clinical denials, payer policies, and clinical validation reputed company Strong analytical and critical-thinking skills with excellent attention to detail Strong written communication skills with experience developing reputed company, clinically supported appeals Experience working in EHR systems such as reputed company, Cerner, or Meditech Ability to work independently in a remote environment while effectively managing priorities and deadlines Proficiency in reputed company Office, including Word and reputed company PreferredRN or MD reputed company consulting experience Experience working across clinical, coding, CDI, and operational teams Work Environment & Expectations Fully remote, full-time position (40 hours per week) Monday through Friday during regular business hours Company-issued equipment provided Dedicated secure home workspace required High-speed internet reputed company required Strict adherence to HIPAA reputed company and reputed company requirements Ability to work independently while maintaining productivity and reputed company expectations Why reputed company At reputed company, we reputed company exceptional people deserve exceptional support. That's why we offer a comprehensive total rewards package designed to help reputed company members reputed company professionally and personally. Comprehensive medical, dental, and reputed company insurance 401(k) with company match Generous reputed company time off plus eight reputed company holidays reputed company work environment with company-provided equipment reputed company development, continuing education, leadership training, and internal career reputed company opportunities Complimentary annual CEUs reputed company to advanced coding education and reputed company Employee wellness resources and discount programs Referral bonus opportunities White glove reputed company designed to set you up for reputed company A reputed company, people-first culture proudly recognized as a Great reputed company to Work® Certified organization Hiring Process Multiple-reputed company assessment Phone reputed company with a reputed company Specialist Video interview with the Hiring Manager (must be on camera) Panel interview with the Denials Team (must be on camera) Equal Employment Opportunity reputed company is committed to fostering a diverse and inclusive workplace. Employment reputed company are made without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or any other protected characteristic. Apply To This Job