CODING/CDI DENIALS ANALYST

UT Southwestern Medical Center

Dallas (TX)

On-site

USD 85,000 - 100,000

Full time

4 days ago
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Benefits offered by this job

PPO medical plan day one for full-time
100% preventive care
Paid Time Off from day one
Retirement programs (TRS)
Paid parental leave
Wellness programs
Tuition reimbursement
PSLF Qualified Employer
Employee benefits information

Job summary

UT Southwestern Medical Center is seeking a Coding/CDI Denials Analyst to review inpatient coding denials for accuracy and documentation support. The role includes composing appeals, identifying denials trends, and communicating DRG changes to improve processes.

Strong knowledge of Official Coding Guidelines and CDI practices is required. The position emphasizes remote work experience, collaboration with the Coding Quality & Integrity team, and ongoing education to reduce denials and improve

Qualifications

  • 3-5 years acute hospital-based Coding and/or CDI experience.
  • Equivalent education/experience may be considered.
  • RHIA/RHIT/CCS/CCDS/CDIP preferred.
  • RN with CDI experience acceptable.

Responsibilities

  • Review coding and/or clinical denials ensuring guidelines and conventions are followed.
  • Compose effective appeals with current guidelines and documentation.
  • Identify coding/documentation trends and root causes of denials.
  • Identify DRG changes and financial impact.
  • Report education needs to Lead Denials Analyst and support front-end denial/appeals processes.
  • Maintain expert knowledge of Coding/CDI guidelines and practices.

Skills

Coding/CDI experience
Remote work experience
Denials/Appeals

Education

RHIA
RHIT
CCS
CCDS
CDIP
RN with CDI

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 so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!

Job Summary

The Coding/CDI Denials Analyst primary responsibilities are to review coding denials for inpatient hospital medical records, for accuracy of assigned codes, and ensure all Official Coding Guidelines and conventions were followed. Also, to ensure the clinical evidence and provider documentation supports the assigned codes and DRG. Compose and submit appeal letters as appropriate, identify coding trends/opportunities for root causes of denials, which would be relevant for additional education to individual Coders/CDI Specialist's and/or the entire Coding/CDI Teams. Report these trends/opportunities to the Lead Denials Analyst to ensure education is developed and provided to the Coders and/or CDI Teams. Identify and communicate front-end activities that influence the denials/appeals process, seeking opportunities for process improvement.

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

3 years three to five (3-5) year's acute hospital-based Coding and/or CDI experience or

An equivalent combination of education and experience may be considered

Denials and Appeals experience in an acute Hospital setting and

Experience working in a remote environment

(RHIA) REGD HEALTH INFO ADMINIST or

(RHIT) REGD HEALTH INFO TECHNOLO or

(CCS) CERT CODING SPECIALIST or

(CCDS) Cert Clinical Documentation or

(CDIP) CERT DOCUMNTATN IMPROVMNT PRAC Preferred

RN with CDI experience

Job Duties
  • Review coding and/or clinical denials, ensuring all coding guidelines and conventions were followed, and ensuring all clinical evidence and provider documentation supports the assigned codes and DRG.
  • Compose an effective appeal utilizing appropriate coding guidelines, relevant and effective clinical documentation, current industry guidelines, evidence-based medicine, and local and national medical management standards and protocols.
  • Identify coding and/or documentation trends for root causes of denials.
  • Identify and communicate DRG changes and financial impact.
  • Identify coding and clinical educational opportunities and report these to the Lead Denials Analyst.
  • Identify front-end activities that influence denial/appeals process.
  • Support the Quality Standards set by UTSW and the HIM Coding & CDI Department.
  • Maintains an expert level of knowledge of Coding/CDI guidelines and practices.
  • Other duties as assigned.
Security and EEO Statement

Security

This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

Primary Location

Texas-Dallas-5323 Harry Hines Blvd

Work Locations

5323 Harry Hines Blvd

Job

Professional & Executive

Organization

844002 - Coding Quality & Integrity

Schedule

Full-time

Shift

Day Job

Employee Status

Regular

Job Posting

Sep 25, 2026, 1:51:59 AM

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