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Clinically intelligent revenue accuracy for health systems and children's hospitals.
3 Jobs
Inpatient Coder
EnjoinClinically intelligent revenue accuracy for health systems and children's hospitals.
• Review complex inpatient medical records and accurately assign ICD-10-CM and ICD-10-PCS diagnosis and procedure codes • Ensure accurate MS-DRG and APR-DRG assignment by applying Official Coding Guidelines and Coding Clinic guidance • Capture Present on Admission (POA) indicators and identify secondary diagnoses that impact Severity of Illness (SOI), Risk of Mortality (ROM), Hospital Acquired Conditions (HACs), HCCs, Social Determinants of Health (SDOH), quality measures, and reimbursement • Identify qualifying procedures and technologies, including New Technology Add-On Payments (NTAP), to ensure complete reimbursement • Validate discharge disposition documentation for coding accuracy • Maintain exceptional coding quality while meeting productivity expectations • Stay current on ICD-10 updates, Coding Clinic publications, Official Coding Guidelines, payer requirements, and industry best practices • Uphold AHIMA Standards of Ethical Coding and maintain the highest level of confidentiality and professionalism • Collaborate effectively with internal coding leadership and quality review teams
DRG Integrity Analyst
EnjoinClinically intelligent revenue accuracy for health systems and children's hospitals.
• Perform initial screening of inpatient charts to identify DRG optimization opportunities and risks • Conduct high-level clinical and coding assessments focused on principal diagnosis, procedures, CC/MCCs, and sequencing • Identify documentation gaps, unsupported diagnoses, and coding misalignment impacting DRG assignment • Triage and escalate validated opportunities to Clinical Coding Analysts (CCAs) for deeper review • Apply standardized screening workflows and DRG methodologies to ensure consistency, accuracy, and productivity • Clearly document screening decisions and rationale to support downstream workflows and audit defensibility • Maintain productivity and quality standards in a high-volume review environment • Collaborate with CCAs and leadership on best practices and workflow improvements • Identify trends, risks, and process gaps to support continuous improvement initiatives
Business Development Representative, HIM/Revenue Cycle
EnjoinClinically intelligent revenue accuracy for health systems and children's hospitals.
• Drive outbound business development through strategic prospecting, including phone calls, email campaigns, LinkedIn outreach, and other engagement strategies • Identify, research, and connect with key decision-makers across HIM, CDI, Medical Coding, Revenue Cycle, and hospital leadership teams • Qualify prospective clients and generate high-quality sales opportunities for the Business Development team • Schedule and coordinate discovery meetings and product demonstrations • Build credibility by confidently discussing healthcare documentation, coding, reimbursement, compliance, and revenue cycle challenges • Maintain accurate records of prospect activity, pipeline, and sales opportunities within CRM systems • Collaborate with Sales and Marketing to refine messaging, target accounts, and improve outreach strategies • Meet or exceed established goals for outreach, qualified meetings, pipeline generation, and conversion metrics • Stay informed on healthcare industry trends, regulatory updates, and market developments that impact clients