DRG Integrity Analyst - PRN

Enjoin; United States; À distance; USD 69 000 - 96 000; Temps partiel

Avantages offerts par ce poste

100% remote work environment

Professional development and training

Great Place to Work certified

Résumé du poste

Enjoin is seeking a DRG Integrity Analyst (DIA) for a remote PRN role to perform high-level chart screening and identify DRG opportunities, risks, and documentation gaps in inpatient encounters.

The role requires strong DRG methodology knowledge, clinical indicators, and coding guidelines to ensure compliant, high-value outcomes. Flexible assignments are offered based on client needs.

Qualifications

• Requires CCS, RHIT, RHIA, CCDS, or CDIP credential.
• At least 7 years of acute inpatient hospital coding, auditing, or CDI experience in large hospital settings.
• Extensive knowledge of ICD-10-CM/PCS coding guidelines and inpatient reimbursement methods.
• Experience with pre-bill DRG validation and clinical validation reviews.
• Experience using major EHR systems (Epic/Cerner/MEDITECH) in remote environments.

Responsabilités

• 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 affecting DRG.
• Triage and elevate opportunities to CCAs for deeper review.
• Document screening decisions and rationale for audit defensibility.
• Maintain productivity and quality in a high-volume review environment.
• Collaborate with CCAs and leadership on best practices and workflow improvements.
• Identify trends and process gaps to support continuous improvement.

Connaissances

Clinical documentation improvement

Remote work experience

Analytical thinking

Communication skills

Attention to detail

Formation

Bachelor's degree in HIM or Health Information Management

Outils

Epic/EHR systems

Cerner

MEDITECH

Description du poste

At 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 collaboration, innovation, clinical excellence, and a shared commitment to delivering exceptional results.

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 Summary

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.

This is a PRN, remote opportunity designed for experienced inpatient coding and CDI professionals seeking flexible, supplemental work. Assignments are offered based on client and business needs, with expectations communicated in advance.

What You'll Do

• 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 elevate 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

Required

• One of the following active professional credentials is required: CCS, RHIT, RHIA, CCDS, or CDIP
• Minimum of 7 years of acute inpatient hospital coding, auditing, and/or Clinical Documentation Improvement (CDI) experience within a large tertiary or academic medical center
• Extensive knowledge of ICD-10-CM/PCS coding guidelines, documentation requirements, and inpatient reimbursement methodologies
• Experience performing pre-bill DRG validation and clinical validation reviews, including identifying documentation, coding, and DRG optimization opportunities
• Experience working within electronic health record (EHR) systems such as Epic, Cerner, MEDITECH, or similar platforms
• Previous experience working in a fully remote environment
• Excellent written and verbal communication skills with the ability to effectively educate and collaborate with physicians, coding professionals, and healthcare teams
• Strong analytical, critical thinking, and problem-solving skills with exceptional attention to detail
• Highly organized with the ability to manage multiple priorities, meet deadlines, and work independently in a fast-paced environment
• Proficiency in Microsoft Office, including Word and Excel

Preferred

• Graduate of an accredited Health Information Technology or Health Information Administration program
• Experience providing coding education, auditing, or documentation improvement support across multiple facilities or client environments

Work Environment & Expectations

• Fully remote; must have your own computer equipment and reliable access to required systems
• Must maintain a secure, dedicated home workspace and reliable high-speed internet connection
• Must maintain strict HIPAA compliance and confidentiality at all times
• Demonstrate accountability, professionalism, reliability, and proactive communication

PRN Schedule & Engagement Expectations

• This is a PRN/as-needed position, with work offered based on available client engagements and business needs. Hours and chart volumes are not guaranteed.
• Available engagements may include weekday, weeknight, or weekend coverage, with commitments structured around a specific number of charts per day, week, or month.
• Engagement requirements and expected chart volumes will be communicated in advance, allowing analysts to determine whether the assignment aligns with their availability before accepting.
• Depending on the engagement, charts may be completed during early morning, evening, or flexible work periods. For weekday workflows, assigned screening must be completed no later than 10:00 a.m. ET to ensure identified opportunities are available to the CCA team for timely review.
• Once an engagement is accepted, analysts are expected to consistently meet the established chart volume, turnaround time, productivity, and quality expectations for that assignment.

Compensation

This position is compensated on a per-chart basis.

Each engagement will include defined chart volume, scheduling requirements, and turnaround expectations, which will be communicated in advance so you can determine which engagements work for you.

Why Enjoin

We offer a comprehensive total rewards package designed to support our team members professionally and personally. Benefits and program eligibility vary based on employment status and other applicable eligibility requirements. Our offerings include:

• Comprehensive medical, dental, and vision insurance (for full time employees)
• 401(k) with company match
• Generous paid time off plus eight paid holidays
• 100% remote work environment
• Professional development, leadership training, and internal growth opportunities
• Recognition programs and performance-based rewardsEmployee 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 Work for three consecutive years

Hiring Process

• Multiple-choice assessment
• Video interview with the Hiring Manager (must be on camera)
• Final chart review assessment

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.