Enjoin is an industry leader commited to providing comprehensive clinical documentation improvement solutions that are physician-led and quality-driven. We are seeking an experienced and detail-oriented Clinical Coding Analyst to join our team. If you possess in-depth knowledge of DRG coding and clinical guidelines, we invite you to contribute your expertise to our dynamic organization.
As a Clinical Coding Analyst, you will play an important role, including the following responsibilites:
Reviewing pre-bill inpatient chart specific to MS DRG assignment
Identifying revenue opportunities and compliance risks based on the Official ICD-10-CM/PCS Guidelines for Coding and Reporting, AHA Coding Clinics, disease process, procedure recognition, and clinical knowledge
Preparing and composing all recommendations, including increased reimbursement, decreased reimbursement, and “FYI” for each account and communicating that to the client
You will be the ideal candidate for this role if you have:
AHIMA coding credential of CCS, RHIT, RHIA, CDIP or ACDIS credential of CCDS
Minimum of 7+ years of acute inpatient hospital coding, auditing, or CDI experience in a large tertiary trauma/teaching hospital
Knowledge of ICD-10 CM/PCS
Experience with electronic health records (i.e., Cerner, Meditech, Epic, etc.)
Excellent oral and written communication skills
Analytical ability, initiative, and resourcefulness
Ability to work independently
Excellent planning and organizational skills
Why Enjoin?
Be a valuable member of a dynamic team of physicians, CDI and coding professionals
Career stability and professional growth opportunities
Excellent salary and earning potential
Monthly bonuses based on performance
Full benefits (medical, vision, dental)
401(k) contribution of 3%
Excellent PTO package plus 7 paid holidays
Work 100% remote
Flexible schedule
Laptop and other necessary equipment provided
Complimentary annual CEUs
“White glove” onboarding/training
Access to advanced educational coding tools / resources
Employee Wellness and Discount programs
Referral bonus program for coding and CDI experts
Essential Functions:
Clinical Coding Analysts are assigned to a specific client(s) and has the primary responsibility of daily pre-bill chart reviews and communication to the client(s) within a 24-hour time frame for each chart reviewed
Provides daily client volumes to Manager no later than 7am EST
Reviews the electronic health record to identify both revenue opportunities and potential coding compliance issues-based ICD-10-CM/PCS coding rules, AHA Coding Clinics, and clinical knowledge
Provides verbal review on all cases with a potential MS DRG recommendation and/or physician query opportunities with the Enjoin Physician(s) via telephone call prior to submitting recommendations to the client
Ensures that the daily work list is uploaded into the MS DRG Database for assigned client(s) and enter required data elements for each patient recommendation into MS DRG Database
Prepares and composes all recommendations, including increased reimbursement, decreased reimbursement, and “FYI” for each account and communicates that to the client within 24 hours of receiving and reviewing the electronic medical record
Follows internal protocol on all client questions and rebuttals on cases reviewed within 24 hours of receipt
Responsible for review and appeal, if warranted, on Medicare and/or third-party denials on charts processed through the MS DRG Assurance program
Responsible for reviewing inclusions and exclusions specific to 30 Day Readmissions and Mortality quality measures on specific cohorts for traditional Medicare payers for specific clients
Schedule: This is a remote, full-time, 40 hour per week position. General hours of work are Monday through Friday during regular business hours.
Enjoin is an equal opportunity employer and values diversity in its workforce. We encourage applications from all qualified candidates.
For more 35 years, Enjoin has provided health systems with clinical documentation integrity (CDI) education, infrastructure and process development. A pioneer of CDI programs, Enjoin continues to be an industry leader and innovator. Led by nationally renowned physicians with a strong academic background in scientific-based medicine and years of clinical practice coupled with certified coding and clinical documentation credentials, our unique approach addresses today’s quality-driven initiatives uniting documentation and coding across the healthcare continuum.
Job Type: Full-time
Pay: $95,000.00 - $135,000.00 per year
Benefits:
401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible schedule
Flexible spending account
Health insurance
Life insurance
Paid time off
Tuition reimbursement
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Experience:
Inpatient (ICD-10CM/PCS) coding, auditing and/or CDI: 5 years (Required)
clinical validation: 2 years (Required)
License/Certification:
CCS, RHIT, RHIA, CCDS and/or CDIP credential (Required)
Work Location: Remote