Denials Standardization Lead Analyst in United States at Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Denials Standardization Lead Analyst based in the United States.

This role sits at the intersection of revenue cycle performance, denial management, and operational improvement, focusing on reducing preventable claim denials and improving reimbursement outcomes. The position plays a critical part in identifying systemic issues across clinical, coding, and front-end revenue cycle processes, translating complex denial data into clear, actionable insights. It requires a detail-oriented and analytical professional who can connect operational breakdowns to financial impact and communicate findings effectively across multidisciplinary teams. The role involves close collaboration with coding, clinical, and revenue cycle stakeholders to validate issues and drive corrective actions. You will be responsible for standardizing denial analysis approaches and helping shape data-driven improvement strategies. This is a high-impact role in a performance-driven environment where your work directly influences revenue integrity and operational efficiency.

The Denials Standardization Lead Analyst is responsible for analyzing denied claims, identifying root causes, and standardizing how denial issues are documented, interpreted, and addressed across revenue cycle operations.

• Analyze complex denied claims to identify clinical, coding, and process-related root causes impacting reimbursement and revenue performance.
• Develop clear, structured problem statements that define where breakdowns occur and what factors are driving denials.
• Collaborate with coding teams, clinical stakeholders, and revenue cycle operations to validate findings and ensure accuracy in medical terminology and coding interpretation.
• Assess financial impact of denial trends and communicate insights to leadership to support prioritization of remediation efforts.
• Use advanced Excel tools (pivot tables, data modeling, and visualization techniques) to analyze large datasets and refine denial inventories into actionable insights.
• Support standardization efforts by improving documentation practices, reporting consistency, and denial classification frameworks across teams.

This role requires strong analytical capability, deep understanding of revenue cycle operations, and hands-on experience in denial management within healthcare environments.

• Minimum of 2 years of experience in revenue cycle management with a strong focus on denial analysis and performance improvement.
• Strong understanding of medical terminology, coding concepts, and front-end revenue cycle processes.
• Experience collaborating with coding teams and operational stakeholders to investigate and resolve denial root causes.
• Advanced Excel skills, including pivot tables, data analysis, and visualization of large datasets.
• Proven ability to identify root causes and translate complex denial patterns into clear recommendations and actionable solutions.
• Strong written and verbal communication skills, including the ability to document clinical and operational findings clearly.
• Experience handling high-volume, complex denial datasets and prioritizing issues based on financial and operational impact.

• Competitive annual salary range ($48,131 – $81,225.49) plus eligibility for a 5% annual bonus
• Comprehensive medical, dental, and vision insurance
• Paid time off and holiday benefits
• Remote or hybrid flexibility depending on role structure
• Retirement savings plan (401k)
• Learning and development opportunities in revenue cycle and analytics
• Opportunity to contribute to high-impact healthcare financial performance initiatives