Note: The job is a remote job and is open to candidates in USA. Enjoin is a company dedicated to improving documentation accuracy and patient care in the healthcare sector. The DRG Integrity Analyst role involves performing clinical and coding reviews for inpatient encounters to identify DRG opportunities and ensure compliance. This position requires strong knowledge of DRG methodology and involves collaborating with clinical coding analysts to enhance workflow efficiency.
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
- 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
Skills
- 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
Benefits
- 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
- Quarterly bonus opportunity based on productivity and quality
- A collaborative, people-first culture recognized as a Great Place to Work® for three consecutive years
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