DRG Integrity Analyst; Remote

DRG Integrity Analyst (Remote)

Enjoin is 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, Enjoin combines advanced clinical intelligence with certified coding and CDI expertise to improve documentation quality, protect revenue, reduce cost, and mitigate compliance risk.

The DRG Integrity Analyst (DIA) serves as the initial point of clinical and coding review for inpatient encounters, 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.

• Perform initial, DRG-focused screening of all assigned inpatient charts using established workflows and screening protocols
• Conduct high-level clinical and coding assessments to identify DRG risk, optimization opportunities, and documentation or coding misalignment
• Evaluate key DRG drivers including principal diagnosis, principal procedures, CC/MCCs, clinical indicators, and sequencing considerations
• Identify and appropriately triage cases with:
• Potential DRG shifts
• Missed or unsupported CC/MCCs
• Documentation gaps impacting DRG assignment
• Coding or sequencing concerns requiring further review
• Advance charts with validated opportunity to Clinical Coding Analysts (CCAs) for detailed analysis and recommendation development
• Apply screening criteria, clinical logic, and DRG methodology consistently to maintain accuracy, quality, and productivity standards
• Clearly document screening outcomes and rationale for escalation or exclusion to support downstream efficiency and audit defensibility
• Maintain required screening productivity levels while upholding clinical validity and coding guideline compliance
• Partner with CCAs and leadership to align on best practices, workflow goals, and quality expectations
• Communicate recurring trends, risks, or workflow barriers to leadership to support continuous process improvement

• AHIMA (CCS, RHIT, RHIA, or CDIP) or ACDIS (CCDS) credential required
• Minimum 2 years of experience with inpatient coding and/or inpatient clinical documentation integrity required
• Working knowledge of MS-DRG methodology, including CC/MCC capture, principal diagnosis selection, and procedure-driven DRG assignment
• Experience reviewing inpatient medical records within established workflows and productivity expectations
• Ability to perform high-level clinical and coding assessments across a variety of inpatient case types
• Strong attention to detail with the ability to follow structured, repeatable workflows
• Ability to apply ICD-10-CM/PCS coding guidelines and Official Coding Guidelines at a screening and triage level
• Strong written documentation skills with the ability to clearly articulate screening rationale and escalation decisions
• Ability to work independently in a remote environment while meeting quality, accuracy, and productivity standards
• Strong time management, organizational, and prioritization skills

• We are Great Place to Work Certified:
  This certification recognizes employers who create an outstanding employee experience
• Be a valuable member of a dynamic team of physicians, CDI and coding professionals
• Career stability and professional growth opportunities
• Full benefits (medical, vision, dental)
• 401(k)
• Excellent PTO package plus 8 paid holidays
• Work 100% remote
• Laptop and other necessary equipment provided
• Complimentary annual CEUs
• “White glove” onboarding/training
• Access to advanced educational coding tools / resources
• Employee Wellness and Discount programs
• Referral bonus program for coding and CDI experts

• This 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.

• Multiple Choice Inpatient Coding Assessment
• Recruiter Phone Call
• Virtual Interview with Hiring Team (must be on camera)

Our 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…