Vice President, Revenue Integrity – DRG, DRGV
EnableComp
full-time
Posted on:
Location Type: Remote
Location: Tennessee • United States
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Job Level
About the role
- Responsible for providing leadership and supervision to the Revenue Recovery products under the Denials umbrella, including Diagnosis-Related Group (DRG & DRGV), and Medical Necessity Denials and Emergency (ED) Downgrades.
- Leads dedicated product and service teams across Revenue Integrity to deliver best-in-class results to clients while ensuring clinical coding integrity and regulatory compliance.
- Reports regularly to senior management on obstacles, challenges, and opportunities that impact the Company’s revenue projections.
- Accountable for developing and supporting leadership within the department, while driving operational performance, client satisfaction, and continuous improvement across Revenue Recovery.
Requirements
- Bachelor’s degree in health information management, Nursing, Healthcare Administration, Business, or related field required; Master’s degree preferred.
- Active Certified Coding Specialist (CCS), RHIT, or RHIA strongly preferred.
- 7-10 years’ of progressive leadership experience in healthcare reimbursement, with 5+ years in clinical denials or inpatient claims environments.
- Experience working with internal teams while serving in a client facing or client support role.
- Strong understanding of inpatient coding, DRG reimbursement methodology, medical record auditing, and payer guidelines.
- Experience navigating hospital revenue cycle environments and working with large-scale data/reporting tools.
- Demonstrated ability to operate effectively at both strategic and operational levels.
Benefits
- EnableComp is an Equal Opportunity Employer M/F/D/V.
- Commitment to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.
- Continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people.
- Commitment to provide tools, resources, and support to employees.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical codinginpatient codingDRG reimbursement methodologymedical record auditingpayer guidelinesrevenue cycle managementdata reporting
Soft Skills
leadershipsupervisionclient satisfactionoperational performancecontinuous improvementstrategic thinkingcommunication
Certifications
Certified Coding Specialist (CCS)Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)