Clinical Denials Analyst (Remote)

About Enjoin

The work you do matters at Enjoin. We partner with hospitals and health systems to improve documentation accuracy, strengthen compliance, and ensure that the care delivered is accurately and completely represented. Our unique approach combines deep clinical and coding expertise with advanced analytics and workflow-driven technology to identify high-impact opportunities and deliver meaningful, measurable outcomes.

Job Summary

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

What You’ll Do

• Perform comprehensive reviews of medical records and clinical documentation to determine root causes of denials
• Develop and execute effective appeal strategies based on clinical criteria, coding guidelines, and payer policies
• Draft clear, concise, and evidence-based appeal letters using clinical documentation and supporting literature
• Collaborate with Enjoin physicians to review and finalize appeals prior to submission
• Analyze denial trends and provide actionable insights to Advisory teams and leadership
• Partner with internal stakeholders to improve CDI workflows and reduce denial rates
• Ensure compliance with HIPAA and maintain strict confidentiality of patient information
• Maintain access to client systems and ensure timely, accurate completion of assigned work
• Contribute to process improvements and best practices to enhance denial management outcomes

Qualifications

• Required Certifications: CCS, CDIP, or CCDS
• Preferred Certifications: RHIT, RHIA, or RN
• 7–10+ years of experience in acute inpatient coding, auditing, or CDI within a large hospital setting (consulting experience preferred)
• Strong knowledge of ICD-10-CM/PCS coding and clinical documentation standards
• Experience analyzing denials, payer policies, and clinical validation criteria
• Proficiency with EHR systems such as Epic, Cerner, or Meditech
• Strong analytical and critical thinking skills with attention to detail
• Excellent written and verbal communication skills, particularly in drafting appeals
• Ability to work independently in a remote environment with strong time management
• Proficiency in Microsoft Office tools, including Excel and Word
• Collaborative mindset with the ability to partner effectively across clinical and operational teams