Clinically intelligent revenue accuracy for health systems and children's hospitals.
DRG Integrity Analyst
Location
United States
Posted
6 days ago
Salary
$75K - $85K / year
Seniority
Mid Level
Job Description
DRG Integrity Analyst
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• 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
Job 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
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