DRG Integrity Analyst

🔥 3 hours ago

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Enjoin

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2011

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Enjoin is a physician-led healthcare revenue integrity company that partners with health systems and children’s hospitals to improve mid-revenue cycle accuracy and recover lost revenue. Their offerings include pre-bill chart review, denial defense, physician-led education and advisory services, and embedded mid-RCM staffing (clinical documentation improvement specialists and inpatient coders). Enjoin combines a tech-enabled Revenue Intelligence Platform that analyzes clinical and coding data with board-certified physician review to identify documentation gaps, coding opportunities, and DRG optimizations before claims are submitted. The company emphasizes outcomes (e. g. , $2B+ recovered revenue, <2% denial rate on reviewed cases), long-term program development, and specialized support for pediatrics and neonatology.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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 Work® for three consecutive years