Remote CDI Consultant: Clinical Documentation & Coding

Enjoin

Oregon

Hybrid

USD 95,000 - 125,000

Full time

8 days ago

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Benefits offered by this job

Medical, dental, vision insurance
401(k) with company match
100% remote work

Job summary

Enjoin is seeking a CDI Consultant to audit inpatient records for accurate coding, DRG assignments, and reimbursement compliance. You will review clinical documentation, discuss potential DRG changes with Enjoin physicians, and prepare evidence-based rationales per ICD-10 and AHA Coding Clinic guidance.

As part of the Advisory team in a fully remote role, you will manage deadlines, maintain workpapers, and stay updated on coding updates and client requirements while collaborating with physicians

Qualifications

  • Bachelor's degree in Health Information Management and/or a Registered Nurse credential; other health-related degrees and experience may be considered on a case-by-case basis.
  • CCDS, CDIP, or CCS certification, plus an RN license or RHIA credential.
  • At least five years of direct experience as a Clinical Documentation Specialist or developing a CDI program in an acute care or ambulatory setting.
  • At least five years of healthcare management experience and/or two years of CDI consulting experience.
  • Strong understanding of CDI program infrastructure, workflows, reporting, and metrics, along with HIM coding workflows.
  • Proficiency in ICD-10-CM/PCS coding, MS-DRG reimbursement, and clinical documentation requirements, with knowledge of MS/APR-DRG methodologies.
  • Experience educating or working directly with clinical documentation specialists, coders, and physicians.
  • Strong analytical, problem-solving, and written and verbal communication skills.
  • Experience with electronic health records, such as Epic, Cerner, or Meditech, and proficiency in Microsoft Office, including Excel.

Responsibilities

  • Audit inpatient medical records to validate coding accuracy, clinical validity, DRG assignments, and compliance with facility workflows.
  • Review clinical documentation, medications, lab results, and orders to identify documentation gaps and develop concise, compliant physician queries.
  • Discuss potential DRG changes and physician query opportunities with Enjoin physicians before submitting recommendations to clients.
  • Write clear audit rationales supported by ICD-10-CM/PCS Official Coding Guidelines and AHA Coding Clinic guidance.
  • Follow AHIMA/ACDIS query compliance guidance and stay current on coding updates, reimbursement trends, and client requirements.
  • Use client reports, workflow systems, and encoder tools to complete reviews and document findings accurately.
  • Meet engagement deadlines and maintain a minimum productivity standard of three chart reviews per hour.
  • Maintain complete, timely engagement workpapers and contribute ideas to improve quality, workflows, and productivity.

Skills

Clinical documentation
ICD-10-CM/PCS
DRG reimbursement
Query writing
HIPAA compliance
Analytical skills
Communication

Education

Bachelor's degree in Health Information Management
Registered Nurse (RN) license

Tools

Epic
Cerner
Meditech
Microsoft Excel

Job description

Enjoin is seeking a CDI Consultant to audit inpatient records for accurate coding, DRG assignments, and reimbursement compliance. You will review clinical documentation, discuss potential DRG changes with Enjoin physicians, and prepare evidence-based rationales per ICD-10 and AHA Coding Clinic guidance.

As part of the Advisory team in a fully remote role, you will manage deadlines, maintain workpapers, and stay updated on coding updates and client requirements while collaborating with physicians

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