Vice President, Revenue Recovery (REMOTE)

EnableComp•Franklin, TN

1d•Remote

About The Position

The Vice President, Revenue Recovery leads and supervises Revenue Recovery products under the Denials umbrella, including DRG and DRGV, Medical Necessity Denials, and Emergency Department (ED) Downgrades. The role leads dedicated product and service teams to deliver strong client results while maintaining clinical coding integrity and regulatory compliance. The VP sets priorities for direct reports, develops departmental leadership, and drives operational performance, client satisfaction, and continuous improvement. The role reports regularly to senior management on obstacles, challenges, and opportunities affecting company revenue projections. The VP establishes departmental goals, financial targets, and performance measures aligned with company objectives; supports strategic planning; oversees quality and productivity standards; and ensures processes and inventory support revenue expectations. The position also directs hiring, training, performance management, workload distribution, client and project coordination, performance reporting, process improvement, client relationships, and team development. It requires current knowledge of relevant regulations, including HIPAA and coding guidelines, as well as strong knowledge of DRG coding, clinical documentation, and reimbursement methodologies. This is a remote position with 0–10% travel in a general office environment. EnableComp describes its culture as centered on professional growth, cooperation, core values, and work-life balance.

Requirements

Bachelor’s degree in health information management, nursing, healthcare administration, business, or a related field; equivalent combinations of education and experience will be considered.
7–10 years of progressive leadership experience in healthcare reimbursement, including 5 or more years in clinical denials or inpatient claims environments.
Experience working with internal teams 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 and reporting tools.
Demonstrated ability to operate at both strategic and operational levels.
Timely and regular attendance.
Strong professional written and oral communication skills.
Experience working in a production environment and meeting deadlines; applicants should be prepared to provide examples of goal measurement for themselves and their teams.
Strong interpersonal skills for working with multiple internal stakeholders.
Demonstrated success in obtaining quantifiable results from direct reports and setting priorities; applicants should be prepared to describe how they manage individual goals.
Organization and ability to manage multiple projects simultaneously.
Healthcare experience and familiarity with payer or provider data sets.
Ability to set and manage multiple priorities across several teams.
Experience communicating obstacles and challenges and developing action plans for management; applicants should be prepared to provide examples.
Adherence to EnableComp’s Core Values, Vision, and Mission.

Nice To Haves

Master’s degree preferred.
Active Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) strongly preferred.

Responsibilities

Serve as a subject matter expert in Revenue Recovery products, including DRG and DRGV, Medical Necessity Denials, and ED Downgrades.
Establish departmental goals, financial targets, and key performance indicators aligned with company objectives.
Help set the strategic direction of Revenue Recovery and identify continuous-improvement opportunities with senior leadership.
Oversee development of quality and productivity metrics and benchmarks using industry standards and internal benchmarks.
Create, communicate, and train teams on process changes and operational best practices.
Ensure processes and inventory support monthly, quarterly, and annual revenue expectations.
Hire, train, supervise, and motivate staff; plan annual goals, conduct performance reviews, distribute workloads, and monitor performance.
Coordinate organizational resources for action plans involving assigned clients and projects.
Collaborate with senior leaders on corporate planning, resource allocation, and strategic partnerships.
Set daily priorities to ensure high-impact work is appropriately prioritized and staffed.
Monitor key performance metrics, report results to stakeholders, and develop corrective action plans for variances when appropriate; ensure metrics are communicated throughout the organization.
Explain variances to management regarding DRG reviews, billing activity, and revenue metrics.
Analyze operational processes and systems to identify process improvements and enhancements to standard operating procedures.
Participate in high-level client relationships, provide regular performance updates, and resolve escalated concerns to support client satisfaction.
Oversee training materials and evaluate trends to support onboarding, ongoing education, and quality improvement.
Build a high-performing, scalable team through leadership, coaching, and accountability.
Maintain knowledge of regulatory and compliance requirements, including HIPAA and coding guidelines, and ensure staff adherence through training, process updates, and policy alignment.
Maintain strong knowledge of DRG coding, clinical documentation, and reimbursement methodologies.
Perform other duties as required.