DRG Integrity Analyst (Remote)
About EnjoinAt 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 teamwork, accountability, and continuous learning.Proudly Great Place to Work® 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 SummaryThe 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 DoPerform initial screening of inpatient charts to identify DRG optimization opportunities and risksConduct high-level clinical and coding assessments focused on principal diagnosis, procedures, CC/MCCs, and sequencingIdentify documentation gaps, unsupported diagnoses, and coding misalignment impacting DRG assignmentTriage and escalate validated opportunities to Clinical Coding Analysts (CCAs) for deeper reviewApply standardized screening workflows and DRG methodologies to ensure consistency, accuracy, and productivityClearly document screening decisions and rationale to support downstream workflows and audit defensibilityMaintain productivity and quality standards in a high-volume review environmentCollaborate with CCAs and leadership on best practices and workflow improvementsIdentify trends, risks, and process gaps to support continuous improvement initiativesQualificationsCCS, RHIT, RHIA, CDIP, or CCDS credential required2+ years of inpatient coding experience requiredWorking knowledge of MS-DRG methodology, including principal diagnosis, CC/MCCs, and procedure-driven DRGsAbility to perform high-level clinical and coding assessments (screening/triage level, not full coding)Strong attention to detail and ability to follow structured, repeatable workflowsProficiency applying ICD-10-CM/PCS guidelines at a screening levelStrong documentation and communication skillsAbility to work independently in a remote, high-volume environment while meeting productivity standardsStrong organizational, time management, and prioritization skillsWhy EnjoinWe offer a comprehensive total rewards package designed to support our team members professionally and personally, including:Competitive compensation and performance-based bonus opportunitiesComprehensive medical, dental, and vision insurance401(k) with company matchGenerous PTO plus 8 paid holidays100% remote work environment with company-provided equipmentProfessional development, leadership training, and internal growth opportunitiesRecognition programs and performance-based rewardsEmployee wellness resources and discount programsWhite glove onboarding designed to set you up for successA collaborative, people-first culture recognized as a Great Place to Work® for three consecutive yearsWork Environment & ExpectationsMust be available to start no later than 8:00 AM ET/CT or 7:00 AM MT/PT, Monday-FridayMaintain a secure home workspace and reliable high-speed internet connectionUse company-issued equipmentMaintain strict HIPAA compliance and confidentialityDemonstrate accountability, professionalism, and proactive communicationHiring ProcessMultiple-choice pre-hire assessmentWritten assessmentRecruiter phone interviewVideo interview with the Hiring Manager (camera on required)Equal Employment OpportunityEnjoin 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 protected characteristic protected by applicable law.