Vice President, Revenue Integrity, DRG & DRGV Remote (anywhere in United States) + 1 more

The Company is seeking a Vice President of Revenue Integrity to lead teams responsible for revenue recovery, including DRG and DRGV reviews, medical necessity denials, and emergency department downgrades. The role sets departmental goals, financial targets, and performance measures while guiding strategy, operational priorities, and continuous improvement. Responsibilities include overseeing staffing, training, quality, productivity, and revenue performance; reporting results and addressing variances; and coordinating resources across teams. The Vice President also supports key client relationships, resolves escalated concerns, and ensures processes align with clinical coding standards and regulatory requirements. Candidates should have a bachelor’s degree in health information management, nursing, healthcare administration, business, or a related field; a master’s degree is preferred. An active CCS, RHIT, or RHIA credential is strongly preferred. Applicants should bring 7–10 years of progressive healthcare reimbursement leadership experience, including at least five years in clinical denials or inpatient claims, and strong knowledge of inpatient coding, DRG reimbursement, medical record auditing, and payer guidelines. The role also requires client-facing experience, familiarity with hospital revenue cycle operations and large-scale reporting tools, and the ability to lead teams, manage competing priorities, communicate effectively, and deliver measurable results.

Hiring Company

EnableComp, LLC