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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 · 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 years' experience ...

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

$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 ...

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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 6, 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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UM & Clinical Denials Asst

Piedmont Healthcare Inc.

Atlanta, GA • On-site

Full-time

Posted 6 days ago


Piedmont Healthcare rating

7.1

Company rating: 7.1 out of 10

Based on 465 frontline employees who took The Breakroom Quiz

377th of 887 rated healthcare providers


Job description

OverviewExperience the advantages of real career change  

Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You'll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future. 

ResponsibilitiesThe purpose of this role is to provide support to the Utilization Management Nurse and RN Appeals Writer in the Care Management Department. This role will help to prevent clinical denials related to lack of clinical, lack of authorization and untimely notifications. This role will work closely with the physician to ensure that peer-to-peer reviews are completed in a timely manner. This role will be responsible for investigating root cause of clinical denials and documenting them in Epic and follow-up of appeal outcome.QualificationsEducation
  • H.S. Diploma or General Education Degree (GED) Required
  • Associate's Degree in human services/healthcare related field, or coding Preferred
Work Experience
  • 3 years of experience in either hospital billing, Care Management, utilization review or commercial / managed care. Required
Licenses and Certifications
  • None Required
Business Unit : Company NamePiedmont Healthcare CorporateEmployment Type: FULL_TIME

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