Clinical Denials Analyst

Remote

Full Time

Experienced

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.

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.

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

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

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

Preferred

RN or MD
Healthcare consulting experience
Experience working across clinical, coding, CDI, and operational teams

Work Environment & Expectations

Fully remote, full-time position (40 hours per week)
Monday through Friday during regular business hours
Company-issued equipment provided
Dedicated secure home workspace required
High-speed internet connection required
Strict adherence to HIPAA Privacy and Security requirements
Ability to work independently while maintaining productivity and quality expectations

Why Enjoin

At Enjoin, we believe exceptional people deserve exceptional support. That's why we offer a comprehensive total rewards package designed to help our team members thrive professionally and personally.

Comprehensive medical, dental, and vision insurance
401(k) with company match
Generous paid time off plus eight paid holidays
100% remote work environment with company-provided equipment
Professional development, continuing education, leadership training, and internal career growth opportunities
Complimentary annual CEUs
Access to advanced coding education and learning resources
Employee wellness resources and discount programs
Referral bonus opportunities
White glove onboarding designed to set you up for success
A collaborative, people-first culture proudly recognized as a Great Place to Work® Certified organization

Hiring Process

Multiple-choice assessment
Phone call with a Talent Acquisition Specialist
Video interview with the Hiring Manager (must be on camera)
Panel interview with the Denials Team (must be on camera)

Equal Employment Opportunity

Enjoin is committed to fostering a diverse and inclusive workplace. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.

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Will you now or in the future require employer sponsorship to work legally in the United States (including H-1B, TN, OPT/STEM OPT, or another employment-based sponsorship)?*

This position is fully remote and must be performed from within the United States. Enjoin provides a company-issued laptop; however, employees are required to maintain a dedicated, distraction-free workspace with reliable high-speed internet. Are you able to meet these requirements?*

This schedule for this position is Monday through Friday during regular business hours. Are you able to work this schedule? If not, please describe your preferred schedule and any availability restrictions.*

If selected for this position, how much notice would you need to provide your current employer before you could start?*

If offered employment, are you able to complete Enjoin's standard pre-employment requirements, which include:

- Providing 2–3 professional references
- Verifying up to seven (7) years of employment history*

Do you have an active AHIMA or ACDIS credential? (REQUIRED)*

How many years of experience do you have with reviewing or managing clinical denials?*

Do you have experience writing appeal letters?*

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