Remote Clinical Coding Analyst: DRG Validation & Review

Enjoin

United States

On-site

USD 100,000 - 110,000

Full time

14 days+
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Benefits offered by this job

Medical benefits
401(k) with match
Paid time off
Remote work with equipment
Professional development

Job summary

Enjoin seeks a Clinical Coding Analyst (CCA) to perform pre-bill inpatient reviews, identify coding opportunities, and support accurate MS-DRG assignments. You will work with Enjoin physicians and client CDI teams in a fully remote role, applying ICD-10-CM/PCS knowledge and CMS guidance to deliver actionable recommendations.

You will review complex cases, respond to rebuttals, and ensure timely turnaround while maintaining HIPAA compliance and high quality standards.

Qualifications

  • Active coding credentials (CCS, RHIT, RHIA, CDIP, or CCDS) are required.
  • Minimum of four years inpatient coding, auditing, or CDI in a large hospital.
  • Strong knowledge of ICD-10-CM/PCS, guidelines, and MS-DRG.
  • Experience with EHR systems (Epic/Cerner/Meditech).
  • Remote work experience preferred.
  • Analytical, detail-oriented, with strong communication.

Responsibilities

  • Perform daily pre-bill inpatient reviews for assigned clients.
  • Identify revenue opportunities, compliance risks, and documentation gaps.
  • Evaluate indicators and documentation for MS-DRG assignments.
  • Conduct case reviews with physicians for MS-DRG changes or queries.
  • Submit clear, evidence-based recommendations for clients.
  • Meet 24-hour turnaround expectations for reviews.

Skills

Coded credential (CCDS/CCS/RHIA etc.)

Education

Clinical coding degree or certification

Tools

Epic EHR
Cerner EHR
Meditech EHR

Job description

Enjoin seeks a Clinical Coding Analyst (CCA) to perform pre-bill inpatient reviews, identify coding opportunities, and support accurate MS-DRG assignments. You will work with Enjoin physicians and client CDI teams in a fully remote role, applying ICD-10-CM/PCS knowledge and CMS guidance to deliver actionable recommendations.

You will review complex cases, respond to rebuttals, and ensure timely turnaround while maintaining HIPAA compliance and high quality standards.

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