Coding and CDI Denials Analyst

The University of Texas Southwestern Medical Center; Dallas (TX); Remote; USD 60,000 - 90,000; Full time

Job summary

An established industry player in healthcare is seeking a Coding/CDI Denials Analyst to join their team. This role is pivotal in ensuring coding accuracy and compliance with guidelines, involving the review of coding denials and the preparation of appeal letters. The ideal candidate will have extensive experience in coding and clinical documentation improvement, with a strong focus on identifying trends and enhancing processes. Joining this esteemed institution means being part of a culture that values teamwork, innovation, and professional growth, all while providing exceptional care and support to the community.

Benefits

PPO medical plan

100% coverage for preventive healthcare

Paid Time Off

Retirement Programs

Paid Parental Leave

Wellness programs

Tuition Reimbursement

Public Service Loan Forgiveness

Qualifications

• 3-5 years of experience in acute hospital-based coding and CDI.
• Certifications in health information management are required.

Responsibilities

• Review coding and clinical denials for compliance and documentation support.
• Compose appeal letters based on guidelines and evidence-based medicine.
• Identify trends in coding and documentation and report root causes.

Skills

Coding Denials Review

Clinical Documentation Improvement (CDI)

Appeals Process

Data Analysis

Education

Bachelor's Degree in Health Information Management

RHIA, RHIT, CCS, CCDS, or CDIP certifications

Job description

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases, and more. Join the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!

JOB SUMMARY
The Coding/CDI Denials Analyst primarily reviews coding denials for inpatient hospital medical records, ensuring the accuracy of assigned codes and adherence to Official Coding Guidelines and conventions. The role involves verifying that clinical evidence and provider documentation support the assigned codes and DRG, composing and submitting appeal letters as needed, identifying coding trends and root causes of denials for educational purposes, and reporting these trends to improve processes.

BENEFITS
UT Southwestern offers a comprehensive benefits package to support your wellbeing, including:

• PPO medical plan, available from day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare with no copay
• Paid Time Off, available from day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION

Required

• 3-5 years of acute hospital-based Coding and/or CDI experience, or an equivalent combination of education and experience
• Experience working in a remote environment
• Denials and Appeals experience in an acute hospital setting

Licenses and Certifications

• RHIA, RHIT, CCS, CCDS, or CDIP certifications

Preferred

• RN with CDI experience

JOB DUTIES

• Review coding and clinical denials for compliance with guidelines and documentation support
• Compose effective appeal letters based on current guidelines and evidence-based medicine
• Identify coding and documentation trends and report root causes of denials
• Assess and communicate DRG changes and financial impacts
• Identify educational opportunities and report to the Lead Denials Analyst
• Support front-end activities influencing denial and appeal processes
• Maintain expertise in Coding/CDI guidelines and practices
• Perform other duties as assigned

SECURITY AND EEO STATEMENT

Security
This position is security-sensitive and subject to Texas Education Code 51.215, requiring access to critical infrastructure and criminal history checks.

EEO Statement
UT Southwestern Medical Center is an equal opportunity employer committed to a diverse and inclusive environment, prohibiting discrimination based on race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, citizenship, or veteran status.