Responsibilities Processes, tracks and appeals clinical denials. Supports and facilitates the ... knowledge of coding, billing, audit and reimbursement payer methodologies and guidelines.
Responsibilities Processes, tracks and appeals clinical denials. Supports and facilitates the ... knowledge of coding, billing, audit and reimbursement payer methodologies and guidelines.
This role works closely with clinical staff, psychiatry, and payors to gather documentation, review ... Familiarity with ICD-10 codes and behavioral health diagnosis documentation. Proven ability to ...
This role works closely with clinical staff, psychiatry, and payors to gather documentation, review ... Familiarity with ICD-10 codes and behavioral health diagnosis documentation. Proven ability to ...
Responsibilities Processes, tracks and appeals clinical denials. Supports and facilitates the ... knowledge of coding, billing, audit and reimbursement payer methodologies and guidelines.
Responsibilities Processes, tracks and appeals clinical denials. Supports and facilitates the ... knowledge of coding, billing, audit and reimbursement payer methodologies and guidelines.
Utilization Review Specialist
Decatur, GA · On-site
This role works closely with clinical staff, psychiatry, and payors to gather documentation, review ... denials, appeals, and service quality metrics. • Initiate and manage appeals for denied services ...
Utilization Review Specialist
Decatur, GA · On-site
This role works closely with clinical staff, psychiatry, and payors to gather documentation, review ... denials, appeals, and service quality metrics. • Initiate and manage appeals for denied services ...
This role works closely with clinical staff, psychiatry, and payors to gather documentation, review ... Familiarity with ICD-10 codes and behavioral health diagnosis documentation. Proven ability to ...
This role works closely with clinical staff, psychiatry, and payors to gather documentation, review ... Familiarity with ICD-10 codes and behavioral health diagnosis documentation. Proven ability to ...
Utilization Review Specialist
Decatur, GA · On-site
This role works closely with clinical staff, psychiatry, and payors to gather documentation, review ... Familiarity with ICD-10 codes and behavioral health diagnosis documentation. * Proven ability to ...
Utilization Review Specialist
Decatur, GA · On-site
This role works closely with clinical staff, psychiatry, and payors to gather documentation, review ... Familiarity with ICD-10 codes and behavioral health diagnosis documentation. * Proven ability to ...
Responsibilities Processes, tracks and appeals clinical denials. Supports and facilitates the ... knowledge of coding, billing, audit and reimbursement payer methodologies and guidelines.
Responsibilities Processes, tracks and appeals clinical denials. Supports and facilitates the ... knowledge of coding, billing, audit and reimbursement payer methodologies and guidelines.
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 ...
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 ...
Outpatient Coding Auditor
$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
$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 · 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 · 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
$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
$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
$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 · 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
$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
$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
$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
$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
$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 ...
Quick apply
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 ...
Work collaboratively with coders and clinical teams to ensure charges are accurate, complete, and ... Review edit and rejection reports regularly, ensuring timely and accurate resolution of front-end ...
Quick apply
Work collaboratively with coders and clinical teams to ensure charges are accurate, complete, and ... Review edit and rejection reports regularly, ensuring timely and accurate resolution of front-end ...
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 ...
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 ...
Plans Review Specialist II
$73K - $97K/yr
The purpose of this job is to review construction plans to ensure compliance with regulatory codes, ordinances, and laws. Duties include but are not limited to approving building plans and ...
Plans Review Specialist II
$73K - $97K/yr
The purpose of this job is to review construction plans to ensure compliance with regulatory codes, ordinances, and laws. Duties include but are not limited to approving building plans and ...
Clinical Denials Coding Review Specialist information
See Decatur, GA salary details
$13.61 - $16.07
4% of jobs
$16.07 - $18.52
3% of jobs
$18.52 - $20.97
9% of jobs
$22.71 is the 25th percentile. Wages below this are outliers.
$20.97 - $23.43
13% of jobs
$23.43 - $25.88
16% of jobs
The median wage is $26.56 / hr.
$25.88 - $28.33
19% of jobs
$30.68 is the 75th percentile. Wages above this are outliers.
$28.33 - $30.79
12% of jobs
$30.79 - $33.24
7% of jobs
$33.24 - $35.70
5% of jobs
$35.70 - $38.15
9% of jobs
$38.15 - $40.60
3% of jobs
$13
$27
$40
How much do clinical denials coding review specialist jobs pay per hour?
What is the difference between Clinical Denials Coding Review Specialist vs Medical Coder?
| Aspect | Clinical Denials Coding Review Specialist | Medical Coder |
|---|---|---|
| Certifications | AHIMA or AAPC certifications, specialized in denial review | AHIMA or AAPC certifications, general coding credentials |
| Work Environment | Healthcare facilities, insurance companies, or billing companies focusing on denial management | Hospitals, clinics, or outpatient facilities performing medical coding |
| Primary Focus | Reviewing and resolving claim denials related to clinical documentation and coding | Assigning 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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Full-time
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Northside Hospital rating
7.2
Based on 443 frontline employees who took The Breakroom Quiz
349th of 887 rated healthcare providers
Job description
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.
ResponsibilitiesProcesses, 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.
QualificationsREQUIRED
Case Management
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About Northside Hospital
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* 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