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Vice President, DRG
EnableCompVP of Revenue Recovery providing leadership to DRG and Denials products. Overseeing operational performance and client satisfaction for revenue recovery solutions.
About the role
Key responsibilities & impact- Provide leadership and supervision to the Revenue Recovery products
- Acts as a subject matter expert in EnableComp Revenue Integrity related products
- Define and establish departmental goals, financial targets, and key performance indicators that align with company objectives
- Oversee the development of quality and productivity metrics and benchmarks for Revenue Recovery functions
- Ensure the processes and inventory are in place to hit monthly, quarterly, and annual revenue expectations
- Responsible for hiring, staff training, and oversight
- Coordinate resources throughout the organization to address action plans for assigned clients and projects
- Collaborate cross-functionally with other senior leaders to guide corporate planning, resource allocation, and strategic partnerships
- Responsible for setting daily priorities to ensure impactful work is prioritized
- Measures and monitors key performance metrics and delivers concise performance reporting to stakeholders
- Researches and analyzes operational processes and systems to identify process improvement opportunities
- Participate in high-level client relationships and ensure client satisfaction
- Develops a high-performing team through effective leadership, coaching, and accountability
- Maintain a strong knowledge of DRG coding, clinical documentation, and reimbursement methodologies
Requirements
What you’ll need- 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.
- Timely and regular attendance.
- Equivalent combination of education and experience will be considered.
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Benefits
Comp & perks- EnableComp is an Equal Opportunity Employer M/F/D/V
- Continuous commitment to professional growth and development
- Tools, resources, and support for employees to thrive and grow their career
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
DRG codingclinical documentationreimbursement methodologiesinpatient codingmedical record auditingpayer guidelinesrevenue cycle managementdata reporting toolsperformance metricsprocess improvement
Soft Skills
leadershipcoachingaccountabilitycollaborationstrategic planningresource allocationclient relationship managementcommunicationprioritizationproblem-solving
Certifications
Certified Coding Specialist (CCS)Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)