Clinical Coding Analyst; Clinical Validation & DRG Review

About Enjoin

At Enjoin, your work makes a meaningful impact. We partner with hospitals and health systems nationwide to improve documentation accuracy, strengthen compliance, and ensure patient care is accurately represented. By combining deep clinical and coding expertise with advanced technology, our team delivers measurable results that support better patient outcomes and appropriate reimbursement.

We're committed to building a collaborative, high-performing culture where people are supported, challenged, and empowered to grow. With more than 200 professionals and a national network of clinical experts, you'll work alongside talented colleagues who value collaboration, innovation, clinical excellence, and a shared commitment to delivering exceptional results.

Proudly Great Place to Work® Certified for three consecutive years
, we're dedicated to creating an environment where our people can do their best work while making a real difference.

The Clinical Coding Analyst (CCA) performs pre-bill inpatient medical record reviews to identify coding opportunities, potential compliance risks, and documentation improvements that support accurate MS-DRG assignment and appropriate reimbursement. Using advanced knowledge of ICD-10-CM/PCS, AHA Coding Clinic guidance, Medicare regulations, and clinical validation, this position develops clear, evidence-based recommendations for clients.

Working closely with Enjoin physicians and client coding and CDI teams, the Clinical Coding Analyst reviews complex cases, communicates findings, responds to rebuttals, and supports denial and quality-related initiatives. This is a fully remote position requiring strong analytical ability, sound judgment, accuracy, and the ability to consistently meet 24-hour turnaround expectations.

• Perform daily pre-bill reviews of inpatient medical records for assigned clients
• Identify revenue opportunities, coding compliance risks, and documentation concerns using ICD-10-CM/PCS guidelines, AHA Coding Clinic guidance, Medicare regulations, and clinical judgment
• Evaluate clinical indicators and documentation supporting diagnoses, procedures, and MS-DRG assignment
• Conduct verbal case reviews with Enjoin physicians for records involving potential MS-DRG changes or provider query opportunities
• Develop and submit clear, evidence-based client recommendations, including increased reimbursement, decreased reimbursement, and informational notifications
• Complete assigned reviews and deliver client recommendations within the required 24-hour turnaround time
• Respond to client questions and rebuttals in accordance with internal protocols and established service expectations
• Upload daily worklists and accurately record all required recommendation data in Enjoin’s MS-DRG database
• Support review and appeal activities involving Medicare and third-party payer denials processed through the MS-DRG Assurance program
• Review inclusion and exclusion criteria related to 30-day readmission and mortality quality measures for designated Medicare populations
• Maintain active access to all assigned client systems and ensure credentials remain current
• Utilize Enjoin tools and coding resources, including Tru Code, the Enjoin I10 Wiki, and CDocT
• Maintain current knowledge of ICD-10-CM/PCS updates, AHA Coding Clinic guidance, Medicare regulations, and relevant industry developments
• Adhere to all company policies, procedures, confidentiality requirements, and compliance standards

• Active CCS, RHIT, RHIA, CDIP, or CCDS credential
• Minimum of four years of acute inpatient hospital coding, coding audit, and/or CDI experience within a large tertiary hospital
• Extensive knowledge of ICD-10-CM/PCS, Official Coding Guidelines, AHA Coding…