DRG Integrity Analyst (Remote)

About Enjoin: For more than 37 years, Enjoin has been a leader in clinical documentation and coding excellence, helping healthcare organizations accurately reflect patient risk, severity, complexity, and quality of care. Through a physician-directed, tech-enabled approach grounded in scientific, evidence-based medicine, Enjoin combines advanced clinical intelligence with certified coding and CDI expertise to improve documentation quality, protect revenue, reduce cost, and mitigate compliance risk.Job SummaryThe DRG Integrity Analyst (DIA) serves as the initial point of clinical and coding review for inpatient encounters, responsible for evaluating client charts to determine potential opportunities to adjust the assigned Diagnosis Related Group (DRG). This role performs a high-level assessment to identify DRG risk, optimization opportunities, and documentation or coding misalignment, ensuring that only cases with actionable recommendations are advanced to Clinical Coding Analysts (CCAs). Focused exclusively on DRG validation workflows, this position is foundational to maintaining efficient, targeted, and high-yield chart review operations while ensuring alignment with clinical validity, coding guidelines, and revenue integrity principles.Key ResponsibilitiesPerform initial, DRG-focused screening of all assigned inpatient charts using established workflows and screening protocolsConduct high-level clinical and coding assessments to identify DRG risk, optimization opportunities, and documentation or coding misalignmentEvaluate key DRG drivers including principal diagnosis, principal procedures, CC/MCCs, clinical indicators, and sequencing considerationsIdentify and appropriately triage cases with:Potential DRG shiftsMissed or unsupported CC/MCCsDocumentation gaps impacting DRG assignmentCoding or sequencing concerns requiring further reviewAdvance charts with validated opportunity to Clinical Coding Analysts (CCAs) for detailed analysis and recommendation developmentApply screening criteria, clinical logic, and DRG methodology consistently to maintain accuracy, quality, and productivity standardsClearly document screening outcomes and rationale for escalation or exclusion to support downstream efficiency and audit defensibilityMaintain required screening productivity levels while upholding clinical validity and coding guideline compliancePartner with CCAs and leadership to align on best practices, workflow goals, and quality expectationsCommunicate recurring trends, risks, or workflow barriers to leadership to support continuous process improvementQualificationsAHIMA (CCS, RHIT, RHIA, or CDIP) or ACDIS (CCDS) credential requiredMinimum 2 years of experience with inpatient coding and/or inpatient clinical documentation integrity requiredWorking knowledge of MS-DRG methodology, including CC/MCC capture, principal diagnosis selection, and procedure-driven DRG assignmentExperience reviewing inpatient medical records within established workflows and productivity expectationsAbility to perform high-level clinical and coding assessments across a variety of inpatient case typesStrong attention to detail with the ability to follow structured, repeatable workflowsAbility to apply ICD-10-CM/PCS coding guidelines and Official Coding Guidelines at a screening and triage levelStrong written documentation skills with the ability to clearly articulate screening rationale and escalation decisionsAbility to work independently in a remote environment while meeting quality, accuracy, and productivity standardsStrong time management, organizational, and prioritization skillsWhy Enjoin?We are Great Place to Work Certified: This certification recognizes employers who create an outstanding employee experienceBe a valuable member of a dynamic team of physicians, CDI and coding professionalsCareer stability and professional growth opportunitiesQuarterly bonus opportunityFull benefits (medical, vision, dental)401(k)Excellent PTO package plus 8 paid holidaysWork 100% remoteLaptop and other necessary equipment providedComplimentary annual CEUs“White glove” onboarding/trainingAccess to advanced educational coding tools / resourcesEmployee Wellness and Discount programsReferral bonus program for coding and CDI expertsWork EnvironmentThis is a full-time remote position. General hours of work are Monday through Friday during regular business hours.Work is generally sedentary, requiring long periods at workstation.Must have a reliable internet connection, phone, and a dedicated, secure workspace to ensure adherence to HIPAA Privacy and Security policies and procedures when viewing Protected Health Information (PHI).Enjoin provides a laptop and other necessary resources to perform duties.Interview ProcessMultiple Choice Inpatient Coding Assessment Recruiter Phone CallVirtual Interview with Hiring Team (must be on camera)Mission StatementOur goal is to provide education and process development to enhance communication and understanding among all individuals involved in the documentation and coding of the health record to ensure the clinical reliability and integrity of the health care data.Enjoin is an equal opportunity employer. We encourage applications from all backgrounds, regardless of race, color, religion, sex, national origin, disability, or any other protected status.