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Clinical Denials Coding Review Specialist Jobs in Decatur, GA

Inpatient DRG Coding Auditor

Atlanta, GA · On-site

$39.31 - $47.90/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 · 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

Johns Creek, GA · On-site

$25 - $28.50/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

Johns Creek, GA · On-site

$25 - $28.50/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

Johns Creek, GA · On-site

$25 - $28.50/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

Johns Creek, GA · On-site

$25 - $28.50/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

Johns Creek, GA · On-site

$25 - $28.50/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

Alpharetta, GA · On-site

$26.50 - $30.25/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

Johns Creek, GA · On-site

$25 - $28.50/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 ...

Professional Coding Auditor

Atlanta, GA · On-site

$26 - $29.50/hr

Reviews patient records, clinical documentation, and coded data to identify discrepancies and coding issues. Works closely with healthcare providers, coders, and compliance teams to support accurate ...

Professional Coding Auditor

Atlanta, GA · On-site

$26 - $29.50/hr

Reviews patient records, clinical documentation, and coded data to identify discrepancies and coding issues. Works closely with healthcare providers, coders, and compliance teams to support accurate ...

Showing results 41-60

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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Inpatient DRG Coding Auditor

Emory Healthcare

Atlanta, GA • On-site

$39.31 - $47.90/hr

Full-time

Re-posted 7 days ago


Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 217 frontline employees who took The Breakroom Quiz

160th of 887 rated healthcare providers


Job description

Be inspired. Be valued. Belong. 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide:

  • Comprehensive health benefits that start day 1
  • Student Loan Repayment Assistance & Reimbursement Programs
  • Family-focused benefits
  • Wellness incentives

Ongoing mentorship, development, leadership programs...and more!


We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will:

  • Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition.
  • 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 needed.
  • Works with Coders and CDSs to draft and initiate physician queries.
  • Performs reviews in a timely manner to maintain DNFB target of 4 days.
  • Provides Coding development with coordination of educational and training programs regarding technical coding and clinical topics for the coding staff.
  • Coordinates remediation when required.
  • Coordinates with the Coding leadership, Quality nurses and the CDS team to educate physicians, nursing, and other clinical staff to improve documentation.
  • Review¿s DRG Reassignment letters and assists in formulating Appeal letters


MINIMUM QUALIFICATIONS:

  • Certified Coding Specialist (CCS) certification.
  • RHIA/RHIT preferred.
  • Minimum five (5) years experience with coding ICD-10 in an acute care setting.
  • Previous experience in performing DRG coding audits.
  • Possesses knowledge of DRG and grouping methodologies (MS DRG's and AP DRG's); in particular what diagnoses / procedures impact DRG assignment.
  • Basic computer skills in word processing and spreadsheet utilization.
  • Excellent interpersonal skills to develop relationships necessary to facilitate and educate.
  • Excellent prioritization and organizational skills.

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.


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