EnableComp
Healthcare
VicePresident,DRG
Neural analysis suggests this role is
optimal for Senior candidates.
“Vice President, DRG at EnableComp. Skills: Revenue Cycle Management, leadership, DRG & DRGV, Medical Necessity Denials, ED Downgrades, client satisfaction, regulatory compliance. providing leadership and supervision to the Revenue Recovery products under the Denials umbrella. obtaining quantifiable results and setting priorities for direct reports”
What You'll Achieve.
improve financial sustainability; accelerated cash; higher and more accurate yield; clean AR management; reduced denials; data-rich performance management; quantifiable results; setting priorities; best-in-class results; operational performance; client satisfaction; continuous improvement; financial targets; key performance indicators; company objectives; monthly, quarterly, and annual revenue expectations; team performance; key performance metrics; performance reporting; corrective action plans for variances; client satisfaction
Industry & Context.
resolution of escalated concerns; process improvement opportunities; SOP enhancements
Travel 0-10%, general office environment
What They're Looking For.
Must Have
Bachelor's degree in health information management, Nursing, Healthcare Administration, Business, or related field, 7-10 years’ of progressive leadership experience in healthcare reimbursement, 5+ years in clinical denials or inpatient claims environments, Experience working with internal teams while serving in a client facing or client support role, 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, Practices and adheres to EnableComp’s Core Values, Vision and Mission, Has worked in a production environment and can meet deadlines, Provide examples of goals measurement for yourself and your team, Proven success in obtaining quantifiable results from and setting priorities for direct reports, Describe how you manage to individual goals, Organized and can handle multiple projects simultaneously, Ability to set and manage multiple priorities among several teams, Experience communicating obstacles & challenges and developing action plans to present to management
Nice to Have
Master’s degree, Active Certified Coding Specialist (CCS), RHIT, or RHIA
What You'll Do.
providing leadership and supervision to the Revenue Recovery products under the Denials umbrella
obtaining quantifiable results and setting priorities for direct reports
delivering best-in-class results to clients
ensuring clinical coding integrity and regulatory compliance
developing and supporting leadership within the department
driving operational performance
and continuous improvement across Revenue Recovery
Acts as a subject matter expert in EnableComp Revenue Integrity related products
Define and establish departmental goals
and key performance indicators
setting the strategic direction of the Revenue Recovery
identifies areas of continuous improvement
Oversee the development of quality and productivity metrics and benchmarks
Acts as a key resource with the creation
and training of process changes
and operational best practices
Ensure the processes and inventory are in place to hit monthly
and annual revenue expectations
Responsible for hiring
Ability to direct and motivate staff
Coordinate resources throughout the organization to address action plans for assigned clients and projects
Responsible for setting daily priorities
Measures and monitors key performance metrics and delivers concise performance reporting
Take the lead in explaining variances to management on a regular basis regarding DRG reviews
Researches and analyzes operational processes and systems to identify process improvement opportunities and SOP enhancements
Participate in high-level client relationships and ensure client satisfaction
Oversee the development of training materials and evaluates trends
Develops a high-performing team through effective leadership
Maintain a current working knowledge of all related regulatory and compliance requirements
ensures staff adherence through training
Maintain a knowledge of DRG coding
clinical documentation
and reimbursement methodologies
How You'll Work.
Team & Collaboration
Collaborate cross-functionally with other senior leaders to guide corporate planning, resource allocation, and strategic partnerships; interface with multiple internal stakeholders
Communication Scope
professional written and oral communications skills; communication skills; communication; explaining variances to management; communication of process changes
Process & Methodology
Organized and can handle multiple projects simultaneously, Ability to set and manage multiple priorities among several teams
Full Job Description
## Description EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years. Position Summary The VP, DRG is 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, for the purpose of obtaining quantifiable results and setting priorities for direct reports. 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. The VP possesses strong leadership and communication skills and reports regularly to senior management on obstacles, challenges, and opportunities that impact the Company’s reven
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