Outpatient Clinical Documentation Specialist (Remote)

For more than 35 years, Enjoin has helped healthcare organizations fully and accurately tell the patient story through clinical documentation and coding excellence. A pioneer in CDI programs, Enjoin continues to innovate by aligning physician-led clinical expertise with documentation, coding, and education across the revenue cycle to improve quality, compliance, and patient-centered outcomes.

The OP CDS is responsible for reviewing physician clinic medical record documentation for the purpose of analyzing and identifying clinical documentation and/or coding opportunities to accurately capture ICD-10-CM Diagnoses, Hierarchical Condition Categories (HCC) diagnoses, Current Procedural Terminology (CPT) accuracy for procedures (if required per client), Evaluation and Management (E&M), and compliance risks based on the Official Guidelines for Coding and Reporting, and Guidelines for Achieving a Compliant Query Practice-2022 update. The purpose of this position is to ensure clinical documentation is complete, accurate and clinically valid to support all coding outcomes (ICD10, HCC and CPT) for the physician clinic encounter.