Senior Clinical Coding & Appeals Specialist (RN / CPC / CCS)
PromptWrx, Atlanta, GA, United States
Overview
Help Build the Future of Healthcare Revenue Recovery
PromptWrx is transforming how healthcare organizations manage revenue cycle. Our AI-powered platform helps providers reduce denials, recover underpayments, automate appeals, and improve financial performance across the revenue cycle.
We’re looking for an experienced
Clinical Coding & Appeals Specialist
who combines clinical judgment, coding expertise, and payer knowledge to help shape the next generation of intelligent automation.
This is not a traditional back-office coding role. Your expertise will directly influence technology used by hospitals and provider organizations at scale.
Responsibilities
Review medical records, physician documentation, and clinical data to validate coding accuracy and medical necessity.
Apply expert knowledge of
ICD-10, CPT, HCPCS, DRG/APR-DRG
methodologies.
Lead denial prevention and appeals efforts for coding, clinical validation, authorization, and medical necessity denials.
Draft, review, and optimize appeal letters using documentation, payer policy, and reimbursement logic.
Identify denial trends, root causes, and opportunities for workflow improvement.
Partner with product, engineering, and operations teams to translate subject matter expertise into AI workflows and product requirements.
Help train and validate AI systems to replicate high-quality coding and appeals decisions.
Serve as an internal subject matter expert for coding compliance, reimbursement logic, and payer behavior.
Qualifications
One of the following credentials:
CPC, CCS, CCS-P, RHIA, RHIT , or equivalent.
5+ years of healthcare revenue cycle experience with strong focus on coding, denials, appeals, or utilization review.
Deep understanding of payer policies, CMS guidelines, and reimbursement processes.
Proven success overturning denials through documentation and appeals strategy.
Strong written communication skills with ability to draft persuasive clinical appeals.
Experience working in EHR/RCM systems such as
Epic, Cerner, Meditech, Athena, Availity, Optum , or similar.
Active
RN
license or prior clinical nursing experience.
Experience with Medicare, Medicaid, and managed care plans.
Startup or high-growth company experience.
Interest in AI, automation, and healthcare innovation.
Build technology that solves real healthcare payment problems.
See your expertise embedded into scalable AI products.
Join an experienced leadership team spanning healthcare, engineering, and operations.
Work in a fast-moving environment where your ideas matter.
Help providers recover millions in earned revenue while reducing unnecessary patient burden.
If that’s you … let’s talk ->
careers@promptwrx.com
#J-18808-Ljbffr
Help Build the Future of Healthcare Revenue Recovery
PromptWrx is transforming how healthcare organizations manage revenue cycle. Our AI-powered platform helps providers reduce denials, recover underpayments, automate appeals, and improve financial performance across the revenue cycle.
We’re looking for an experienced
Clinical Coding & Appeals Specialist
who combines clinical judgment, coding expertise, and payer knowledge to help shape the next generation of intelligent automation.
This is not a traditional back-office coding role. Your expertise will directly influence technology used by hospitals and provider organizations at scale.
Responsibilities
Review medical records, physician documentation, and clinical data to validate coding accuracy and medical necessity.
Apply expert knowledge of
ICD-10, CPT, HCPCS, DRG/APR-DRG
methodologies.
Lead denial prevention and appeals efforts for coding, clinical validation, authorization, and medical necessity denials.
Draft, review, and optimize appeal letters using documentation, payer policy, and reimbursement logic.
Identify denial trends, root causes, and opportunities for workflow improvement.
Partner with product, engineering, and operations teams to translate subject matter expertise into AI workflows and product requirements.
Help train and validate AI systems to replicate high-quality coding and appeals decisions.
Serve as an internal subject matter expert for coding compliance, reimbursement logic, and payer behavior.
Qualifications
One of the following credentials:
CPC, CCS, CCS-P, RHIA, RHIT , or equivalent.
5+ years of healthcare revenue cycle experience with strong focus on coding, denials, appeals, or utilization review.
Deep understanding of payer policies, CMS guidelines, and reimbursement processes.
Proven success overturning denials through documentation and appeals strategy.
Strong written communication skills with ability to draft persuasive clinical appeals.
Experience working in EHR/RCM systems such as
Epic, Cerner, Meditech, Athena, Availity, Optum , or similar.
Active
RN
license or prior clinical nursing experience.
Experience with Medicare, Medicaid, and managed care plans.
Startup or high-growth company experience.
Interest in AI, automation, and healthcare innovation.
Build technology that solves real healthcare payment problems.
See your expertise embedded into scalable AI products.
Join an experienced leadership team spanning healthcare, engineering, and operations.
Work in a fast-moving environment where your ideas matter.
Help providers recover millions in earned revenue while reducing unnecessary patient burden.
If that’s you … let’s talk ->
careers@promptwrx.com
#J-18808-Ljbffr