Remote Inpatient Clinical Documentation Specialist

Enjoin; United States; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with company match

100% remote work with company-provided

CEUs and professional development

Job summary

Enjoin is seeking an Inpatient Clinical Documentation Specialist (CDS) to partner with physicians, coding teams, and clinical staff to improve inpatient documentation accuracy and completeness. You will review records, issue compliant queries, and support accurate severity, mortality, and reimbursement while ensuring regulatory compliance.

Leverage strong clinical judgment and CDI expertise to drive documentation improvements, collaborating across CDI, coding, quality, and client teams in a

Qualifications

• Active RN license required.
• 5+ years of acute inpatient CDI experience in large hospital.
• Experience with electronic health records systems.
• Strong knowledge of inpatient CDI practices, ICD-10-CM/PCS, DRG assignment, and compliant query practices.
• Excellent communication skills for education and collaboration with physicians and teams.
• Ability to work independently while managing multiple priorities remotely.

Responsibilities

• Review inpatient records to evaluate accuracy, completeness, and clinical integrity of physician documentation.
• Identify documentation improvement opportunities and issue concise, compliant provider queries per AHIMA/ACDIS.
• Collaborate with physicians, coding professionals, and clinical staff to improve documentation quality and coding accuracy.
• Analyze clinical data, labs, meds, orders, and tests to validate reportable diagnoses and procedures.
• Perform concurrent, continued stay, and retrospective chart reviews while meeting productivity and quality expectations.
• Monitor query follow-up, reconciliation, and escalation per client workflows.
• Apply ICD-10-CM/PCS coding guidelines and client validity criteria throughout reviews.
• Educate providers on documentation best practices to support accurate representation and reimbursement.
• Maintain understanding of inpatient coding, DRG assignment, and healthcare regulations.
• Deliver high-quality work in a fully remote environment with cross-team collaboration.

Skills

Clinical judgment

Analytical thinking

Problem-solving

Critical thinking

Written and verbal communication

Independent work

Education

RN license

Job description

Enjoin is seeking an Inpatient Clinical Documentation Specialist (CDS) to partner with physicians, coding teams, and clinical staff to improve inpatient documentation accuracy and completeness. You will review records, issue compliant queries, and support accurate severity, mortality, and reimbursement while ensuring regulatory compliance.

Leverage strong clinical judgment and CDI expertise to drive documentation improvements, collaborating across CDI, coding, quality, and client teams in a