Remote Clinical Denials Analyst | Revenue Integrity & CDI

Enjoin; United States; Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Company-issued equipment provided

Fully remote work environment

Job summary

Enjoin is seeking a Clinical Denials Analyst (CDA) to review denials through in-depth medical record analysis, clinical validation, and coding guidelines. This role focuses on identifying appeal opportunities, drafting evidence-based appeal letters, and driving improved revenue integrity outcomes for clients.

Working closely with physicians and Advisory teams, the CDA combines clinical expertise, coding knowledge, and data analysis to uncover denial trends and support continuous improvement in

Qualifications

• 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 effectively managing priorities and deadlines.
• Proficiency in Microsoft Office, including Word and Excel.

Responsibilities

• Review medical records to determine root causes of denials.
• Develop and execute appeal strategies based on clinical criteria and payer policies.
• Draft clear, evidence-based appeal letters using supporting documentation.
• Collaborate with Enjoin physicians to review and finalize appeals.
• Analyze denial trends and provide actionable insights to leadership.
• Partner with internal stakeholders to improve CDI workflows and reduce denial rates.
• Ensure HIPAA compliance and maintain confidentiality of patient information.
• Maintain access to client systems and ensure timely completion of work.
• Contribute to process improvements to enhance denial management outcomes.

Skills

Inpatient coding

CDI expertise

Analytical skills

HIPAA compliance

Payer policy knowledge

Education

CCS/RHIT/RHIA/CDIP/CCDS credential

Tools

Epic

Cerner

Meditech

Microsoft Word

Microsoft Excel

Job description

Enjoin is seeking a Clinical Denials Analyst (CDA) to review denials through in-depth medical record analysis, clinical validation, and coding guidelines. This role focuses on identifying appeal opportunities, drafting evidence-based appeal letters, and driving improved revenue integrity outcomes for clients.

Working closely with physicians and Advisory teams, the CDA combines clinical expertise, coding knowledge, and data analysis to uncover denial trends and support continuous improvement in