Coding & CDI Denials Analyst

Job Description

Networks Connect is conducting this search on behalf of our client. We’re looking for a Coding & CDI Denials Analyst to join our client’s team on a contract-to-hire basis. In this role, you’ll be responsible for reviewing inpatient coding and clinical denials, validating documentation, and writing compelling appeals that support accurate reimbursement. This is a fully remote opportunity ideal for professionals who are detail-oriented, documentation-driven, and experienced in DRG denials and coding compliance.

Earnings

$40.00-$50.00 hourly

Duties

• Review inpatient coding and clinical denials to ensure proper code assignment, adherence to official coding guidelines, and DRG accuracy.
• Compose and submit appeal letters using clinical documentation, coding references, and payer guidelines.
• Collaborate with HIM, CDI, and revenue cycle teams to analyze root causes of denials and recommend corrective education.
• Identify trends in denials and provide data-driven insights to leadership.
• Stay current on industry standards, coding/CDI regulations, and payer policies.
• Maintain compliance with internal quality standards and external regulatory expectations.

Requirements

• 3–5 years of recent acute-care hospital coding or CDI experience.
• Direct experience working with DRG denials, appeals, and clinical documentation validation.
• Experience working in a remote environment with common platforms such as Epic, 3M, OnBase, RightFax, and Citrix.
• Proficient in using CDI tools (ACDIS Pro, CDI Pocket Guide, etc.)
• Coders with CDI background are strongly preferred.
• Knowledge of DRG downgrades, payer audit processes, and clinical validation.
• Experience supporting both documentation integrity and financial reimbursement goals.

Why Apply?

• Opportunity to transition into a permanent role
• High-impact work at the intersection of coding, compliance, and clinical documentation
• Be part of a forward-thinking team focused on revenue integrity and quality care

License / Certification

• CCDS (Certified Clinical Documentation Specialist)
• CDIP (Certified Documentation Improvement Practitioner)
• CCS (Certified Coding Specialist) or RN license is required

Benefits

• Dental insurance
• Health insurance
• Vision insurance