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DRG Integrity Analyst

Role overview

Qualifications

  • CCS, RHIT, RHIA, CDIP, or CCDS credential required
  • Minimum of 2 years of inpatient coding experience required
  • Working knowledge of MS-DRG methodology, including principal diagnosis, CC/MCCs, and procedure-driven DRGs
  • Ability to perform high-level clinical and coding assessments (screening/triage level, not full coding)

Responsibilities

  • 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

Key facts

  • Remote from: Anywhere
  • Full time
  • Mid-level (2-5 years)
  • English

Other skills

  • Detail Oriented
  • Verbal Communication Skills
  • Organizational Skills
  • Time Management
  • Prioritization
  • Collaboration
  • Accountability
  • Professionalism

About the company

Enjoin logo

Enjoin

Enjoin provides a comprehensive solution that integrates care delivery with clinical documentation improvement. With thirty years of direct physician leadership, our team ensures evidenced-based care is accurately reflected through precise documentation and coding for value-based reimbursement. Whether inpatient or ambulatory, the precision of healthcare data defines risk adjusted value-based outcomes through reliable documentation and coding. Led by expert physicians with coding and documentation credentials, our clients achieve a demonstrable improvement in CMI, coding accuracy, quality metrics, risk adjustment, and physician alignmentโ€”with an average return on investment over 700%. For more information, contact 844-ENJOIN1 or email info@enjoincdi.com

Company details

Company size51 - 200

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Job description

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 Workยฎ 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 DRG Integrity Analyst (DIA) serves as the first level of clinical and coding review for inpatient encounters, focusing on identifying potential DRG opportunities, risks, and documentation gaps. This role performs high-level chart screening to determine whether cases warrant deeper analysis, ensuring only high-value opportunities are advanced for full review.

This position is foundational to driving efficient, high-quality chart review workflows and requires strong knowledge of DRG methodology, clinical indicators, and coding guidelines to support accurate, compliant, and impactful outcomes.

What You'll Do

  • 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

Qualifications

  • CCS, RHIT, RHIA, CDIP, or CCDS credential required
  • Minimum of 2 years of inpatient coding experience required
  • Working knowledge of MS-DRG methodology, including principal diagnosis, CC/MCCs, and procedure-driven DRGs
  • Ability to perform high-level clinical and coding assessments (screening/triage level, not full coding)
  • Proficiency in applying ICD-10-CM/PCS coding guidelines at a screening level
  • Strong attention to detail and ability to follow structured, repeatable workflows
  • Strong documentation and communication skills
  • Ability to work independently in a remote, high-volume environment while meeting productivity standards
  • Strong organizational, time management, and prioritization skills

Work Environment & Expectations

  • Fully remote, with company-issued computer equipment provided
  • Must be available to begin work no later than 8:00 AM ET/CT or 7:00 AM MT/PT, Monday through Friday, to support team collaboration and business needs
  • Must maintain a secure home workspace and reliable high-speed internet connection
  • Must maintain strict HIPAA compliance and confidentiality
  • Demonstrate accountability, professionalism, and proactive communication

Compensation

  • $75,000 - $85,000 annually
  • Quarterly bonus opportunity based on productivity and quality

Why Enjoin

We offer a comprehensive total rewards package designed to support our team members professionally and personally, including:

  • 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, leadership training, and internal growth opportunities
  • Recognition programs and performance-based rewards
  • Employee wellness resources and discount programs
  • White glove onboarding designed to set you up for success
  • A collaborative, people-first culture recognized as a Great Place to Workยฎ for three consecutive years

Hiring Process

  • Multiple-choice assessment
  • Written assessment
  • Phone call with a Talent Acquisition Specialist
  • Video interview with the Hiring Manager (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 characteristic protected by applicable federal, state, or local law.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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