Role Description
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.
-
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
Requirements
-
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
Benefits
-
Competitive compensation and performance-based bonus opportunities
-
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
-
Recruiter phone interview
-
Video interview with the Hiring Manager (camera on required)
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.