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Clinical Denials Analyst

Enjoin

About Enjoin

Enjoin partners with hospitals and health systems nationwide to improve documentation accuracy, strengthen compliance, and ensure patient care is accurately represented. The team combines clinical and coding expertise with technology to support better patient outcomes and appropriate reimbursement.

The Clinical Denials Analyst is responsible for reviewing and managing clinical denials through medical record analysis, clinical validation, and application of coding guidelines. The role focuses on identifying appeal opportunities, drafting evidence-based appeal letters, and improving revenue integrity outcomes for clients.

Working closely with physicians and Advisory teams, this position helps uncover denial trends, strengthen documentation practices, and support continuous improvement in denial prevention strategies.

Requirements & Qualifications

Required

  • CCS, RHIT, RHIA, CDIP, or CCDS credential
  • 7+ years of acute inpatient coding, auditing, or CDI experience
  • Strong knowledge of ICD-10-CM/PCS coding and clinical documentation standards
  • Experience reviewing clinical denials, payer policies, and clinical validation criteria
  • Strong analytical and critical-thinking skills with excellent attention to detail
  • Strong written communication skills with experience developing clear, clinically supported appeals
  • Experience working in EHR systems such as Epic, Cerner, or Meditech
  • Ability to work independently in a remote environment while managing priorities and deadlines
  • Proficiency in Microsoft Office, including Word and Excel

Preferred

  • RN or MD
  • Healthcare consulting experience
  • Experience working across clinical, coding, CDI, and operational teams

Work Environment

  • Fully remote, full-time position
  • Monday through Friday during regular business hours
  • Dedicated secure home workspace required
  • High-speed internet connection required
  • Strict adherence to HIPAA Privacy and Security requirements
Benefits & Perks

Benefits and Perks

  • Comprehensive medical, dental, and vision insurance
  • 401(k) with company match
  • Generous paid time off plus eight paid holidays
  • 100% remote work environment with company-provided equipment
  • Professional development, continuing education, leadership training, and internal career growth opportunities
  • Complimentary annual CEUs
  • Access to advanced coding education and learning resources
  • Employee wellness resources and discount programs
  • Referral bonus opportunities
  • White glove onboarding
  • Collaborative, people-first culture

Location

N/A

Employment Type

Full-time

Experience Level

Senior

Remote work allowed

Yes

Posted

3 weeks ago

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