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Clinical Denials Coding Review Specialist Jobs in Decatur, GA

Medical Billing & Coding Specialist

Atlanta, GA ยท Remote

$19.25 - $24.50/hr

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

Epic Denials Management Operator

Atlanta, GA ยท Remote

$17.25 - $23/hr

Review hospital account records and payer remittance records, communicate with relevant Client RCM ... coding, billing, credentialing, denials, and/or clinical teams as needed. Provide additional ...

Plans Review Specialist II

Atlanta, GA ยท On-site

$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 ...

... coding, billing, credentialing, denials, and/or clinical teams as needed. Provide additional ... Review AR aging reports and work queues to identify unpaid and delayed claims. Follow up with third ...

Inpatient DRG Coding Auditor

Atlanta, GA ยท On-site

$26.25 - $29.75/hr

Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. * Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is ...

Inpatient DRG Coding Auditor

Atlanta, GA ยท On-site

$26 - $29.50/hr

Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. * Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is ...

Inpatient DRG Coding Auditor

Atlanta, GA ยท On-site

$26 - $29.50/hr

Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. * Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is ...

Showing results 21-40

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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Medical Billing & Coding Specialist

CrewBloom

Atlanta, GA โ€ข Remote

$19.25 - $24.50/hr

Full-time

Medical, Vision

Posted 20 days ago


Job description

CrewBloom is seeking a detail-oriented Medical Billing & Coding Specialist to support one of our US-based healthcare clients in a fully remote role. This opportunity is open exclusively to candidates currently residing in the United States. You will work closely with healthcare practitioners in private practices and medical clinics to accurately review, assign, and manage medical codes, ensuring compliant billing, timely reimbursements, and efficient revenue cycle operations. While industry certifications are a plus, what matters most is hands-on experience with medical billing and coding, particularly a strong understanding of Eye Care Practice (ECP) coding guidelines and regulations.

Job Responsibilities

  • Review clinical documentation and assign accurate medical billing and procedure codes.
  • Process insurance claims and ensure compliance with payer guidelines and coding regulations.
  • Verify coding accuracy and resolve billing discrepancies or claim denials.
  • Maintain accurate patient billing records and documentation.
  • Collaborate with healthcare providers and administrative staff to support efficient billing operations.
  • Stay current on coding updates, payer policies, and industry regulations.
  • Assist with audits and implement best practices to improve billing accuracy and compliance.

Requirements

  • Proven experience in medical billing and coding within a healthcare setting.
  • Strong understanding of medical coding standards, billing workflows, and insurance claim processes.
  • Experience working with private medical practices or outpatient clinics is preferred.
  • Familiarity with Eye Care Practice (ECP) code families and billing rules is highly preferred.
  • Certifications such as CPC, CCS, RHIT, or RHIA are a plus but not required.
  • Excellent attention to detail, analytical, and problem-solving skills.
  • Strong communication skills and the ability to work independently in a remote environment.

Minimum Technical and Work Environment Requirements:

    • Internet Connection:
      • Primary internet connection with a minimum speed of 15 Mbps.
      • Backup internet connection with at least 10 Mbps.
      • Backup connection must be capable of supporting work during a power outage.
    • Primary Device:
      • Desktop or laptop equipped with at least:
        • Intel Core i5 (8th generation or newer), Intel Core i3 (10th generation or newer), AMD Ryzen 5, or an equivalent processor.
        • A minimum of 8 GB RAM.
    • Backup Device:
      • Must meet or exceed the performance of an Intel Core i3 processor.
      • Must be functional during power interruptions.
    • Peripherals and Workspace:
      • A functioning webcam.
      • A noise-canceling USB headset.
      • A quiet, dedicated home office space.
      • A smartphone for communication and verification purposes.

Benefits

  • Join Our Dynamic Team: Experience our fun, inclusive, innovative culture that values your unique contributions and supports your professional growth.
  • Embrace the Opportunities: Seize daily chances to learn, innovate, and excel. Make a real impact in your field.
  • Limitless Career Growth: Unlock a world of possibilities and resources to propel your career forward.
  • Fast-Paced Thrills: Thrive in a high-energy, engaging atmosphere. Embrace challenges and reap stimulating rewards.
  • Flexibility, Your Way: Embrace the freedom to work from home or any location of your choice. Create your ideal work environment.
  • Work-Life Balance at Its Best: Say goodbye to stressful commutes and hello to quality time with loved ones. Achieve a healthy work-life integration to perform at your best.