DRG Integrity Analyst - PRN

Enjoin • ,

2d • Remote

About The Position

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.

Requirements

• 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

Nice To Haves

• Graduate of an accredited Health Information Technology or Health Information Administration program
• AHIMA Approved ICD-10-CM/PCS Trainer designation
• Experience providing coding education, auditing, or documentation improvement support across multiple facilities or client environments

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

Benefits

• 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 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 Work® for three consecutive years

What This Job Offers

• Career Level: Mid Level
• Education Level: Associate degree