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Clinical Denials Coding Review Specialist Jobs in Decatur, GA

Coding Payment Resolution Spec

Rex, GA · On-site

$17.25 - $22.25/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... This position reports directly to the Supervisor Clinical/Coding Payment Resolution. Essential ...

Act as liaison with PFS department to resolve all outpatient coding review requests. MINIMUM QUALIFICATIONS: * Certified Coding Specialist (CCS) certification required. Minimum 4 years¿ experience ...

Outpatient Coding Auditor

Atlanta, GA · On-site

$26 - $29.50/hr

Act as liaison with PFS department to resolve all outpatient coding review requests. MINIMUM QUALIFICATIONS: * Certified Coding Specialist (CCS) certification required. Minimum 4 yearsA experience ...

Outpatient Coding Auditor

Atlanta, GA

$26 - $29.50/hr

Act as liaison with PFS department to resolve all outpatient coding review requests. MINIMUM QUALIFICATIONS: * Certified Coding Specialist (CCS) certification required. Minimum 4 yearsA experience ...

Outpatient Coding Auditor

Atlanta, GA · On-site

$26 - $29.50/hr

Act as liaison with PFS department to resolve all outpatient coding review requests. MINIMUM QUALIFICATIONS: * Certified Coding Specialist (CCS) certification required. Minimum 4 years' experience ...

Outpatient Coding Auditor

Atlanta, GA · On-site

$35.66 - $43.45/hr

Act as liaison with PFS department to resolve all outpatient coding review requests. MINIMUM QUALIFICATIONS: * Certified Coding Specialist (CCS) certification required. * Minimum 4 years¿ experience ...

Outpatient Coding Auditor

Atlanta, GA

$26 - $29.50/hr

Act as liaison with PFS department to resolve all outpatient coding review requests. MINIMUM QUALIFICATIONS: * Certified Coding Specialist (CCS) certification required. * Minimum 4 yearsA experience ...

Outpatient Coding Auditor

Atlanta, GA · On-site

$26 - $29.50/hr

Act as liaison with PFS department to resolve all outpatient coding review requests. MINIMUM QUALIFICATIONS: * Certified Coding Specialist (CCS) certification required. * Minimum 4 years' experience ...

Outpatient Coding Auditor

Atlanta, GA

$26 - $29.50/hr

Act as liaison with PFS department to resolve all outpatient coding review requests. MINIMUM QUALIFICATIONS: * Certified Coding Specialist (CCS) certification required. * Minimum 4 yearsA experience ...

Medical Billing & Coding Specialist

Atlanta, GA · Remote

$19.25 - $24.50/hr

  • Medical

  • Vision

Review clinical documentation and assign accurate medical billing and procedure codes. * Process ... Verify coding accuracy and resolve billing discrepancies or claim denials. * Maintain accurate ...

PB -Coder III - Neuro Surgery

Atlanta, GA · On-site

$18 - $24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Summary The Coder is responsible for reviewing outpatient clinical documentation via Epic and ... Certified Coding Specialist Remote: Must live in Georgia Ability to multi-task, prioritize needs ...

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Showing results 1-20

Clinical Denials Coding Review Specialist information

See Decatur, GA salary details

$13

$27

$40

How much do clinical denials coding review specialist jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for clinical denials coding review specialist in Decatur, GA is $27.46, according to ZipRecruiter salary data. Most workers in this role earn between $22.55 and $31.92 per hour, depending on experience, location, and employer.

What is the difference between Clinical Denials Coding Review Specialist vs Medical Coder?

AspectClinical Denials Coding Review SpecialistMedical Coder
CertificationsAHIMA or AAPC certifications, specialized in denial reviewAHIMA or AAPC certifications, general coding credentials
Work EnvironmentHealthcare facilities, insurance companies, or billing companies focusing on denial managementHospitals, clinics, or outpatient facilities performing medical coding
Primary FocusReviewing and resolving claim denials related to clinical documentation and codingAssigning accurate medical codes for billing and documentation

The Clinical Denials Coding Review Specialist primarily focuses on analyzing and resolving claim denials related to clinical documentation, requiring specialized knowledge of denial processes. In contrast, a Medical Coder assigns accurate codes to medical records for billing purposes. While both roles require coding certifications, the specialist role emphasizes denial management and review, often in insurance or billing settings, whereas the medical coder's role is broader in medical documentation coding across healthcare providers.

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For Clinical Denials Coding Review Specialist jobs in Decatur, GA, the most frequently searched job titles are:

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Cities near Decatur, GA with the most Clinical Denials Coding Review Specialist job openings:

Clinical Audit/Denials Specialist, RN

Northside Hospital Inc.

Atlanta, GA • On-site

Full-time

This job post has expired today. Applications are no longer accepted.


Northside Hospital rating

7.2

Company rating: 7.2 out of 10

Based on 443 frontline employees who took The Breakroom Quiz

349th of 887 rated healthcare providers


Job description

Overview

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Responsibilities

Processes, tracks and appeals clinical denials. Supports and facilitates the design, development and implementation of Utilization Management data collection methodologies and studies in the respective functional areas. Displays and analyzes data to identify trends. Works collaboratively to develop plan of action.

Qualifications

REQUIRED

 

Case Management

  • Graduate of an accredited school of nursing, with strong clinical case management experience
  • Three (3) years experience in Utilization Management/Case Management or related field, with specific experience in the following areas: the application of industry prevalent guideline criteria; knowledge of coding, billing, audit and reimbursement payer methodologies and guidelines. Experience in the collection, interpretation, and presentation of data to medical staff members; and, interaction with managed care companies, including appealing denials.
  • General:

  • Excellent written and verbal communication skills.
  • Ability to communicate effectively with business office, physicians, clinical care team and case management team.
  • Ability to type accurately at an approximate rate of 30 words per minute.
  • Work Hours:8am - 4:30pm Weekend Requirements:NoOn-Call Requirements:NoEmployment Type: FULL_TIME

    What Northside Hospital employees say

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    About Northside Hospital

    Sourced by ZipRecruiter

    * 288-bed hospital, offering a full range of services including comprehensive and interventional stroke care, preventative and corrective cardiac care, full-service orthopedic and spine treatment, an ER 24/7®, and general surgery * As one of the first hospitals in the area to achieve Atrial Fibrillation Certification (SCPC), our technologically advanced hospital allows our highly skilled physicians, nursing and caregivers to serve our growing community * Northside Hospital was the first nationally recognized Comprehensive Stroke Center in Pinellas County and nationally recognized for quality and safety by earning an 'A' rating from the Leapfrog Group

    Industry

    Hospitals

    Company size

    10,000+ Employees

    Headquarters location

    Atlanta, GA, US

    Year founded

    1970