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EnableComp

We partner with over 1,000 healthcare providers to maximize their complex claims reimbursements.

Vice President, Revenue Integrity – DRG, DRGV

Vice PresidentVice PresidentFull TimeRemoteLeadTeam 501-1,000H1B No SponsorCompany SiteLinkedIn

Location

Tennessee

Posted

65 days ago

Salary

0

Seniority

Lead

Bachelor Degree7 yrs expEnglish

Job Description

Vice President, Revenue Integrity – DRG, DRGV

EnableComp

• 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.

Job 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.

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