“I really like this kind of work, but it’s very intense as far as giving quality services and being able to meet documentation deadlines and direct service goals,” Dunham, a team leader at Chicago-based Trilogy, said during a recent webinar with Eleos Health. “And I often, on a daily basis, would find myself at the end of the day, after hours, doing notes and stretching out and waking up the next morning—and finishing more notes. It was all about notes, notes, notes.”