VP, Revenue Recovery & Denials Strategy

EnableComp LLC; United States; Remote; USD 180,000 - 240,000; Full time

Job summary

EnableComp LLC in the United States is seeking a VP of Revenue Recovery to lead the DRG/DRGV, Medical Necessity Denials, and ED Downgrades domains. You will oversee product and service teams to deliver best-in-class results while ensuring coding integrity and regulatory compliance.

The role requires strong leadership, strategic and operational proficiency, and the ability to drive client satisfaction and continuous improvement across Revenue Recovery.

Qualifications

• Bachelor’s degree in health information management, Nursing, Healthcare Administration, Business, or related field (Master’s degree preferred).
• Active CCS, RHIT, or RHIA certification strongly preferred.
• 7–10 years’ progressive leadership in healthcare reimbursement, with 5+ years in clinical denials or inpatient claims.
• Experience working with internal teams in client-facing or client support roles.
• Strong understanding of inpatient coding, DRG reimbursement, 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.
• Travel 0-10%; general office environment.

Responsibilities

• Acts as a subject matter expert for EnableComp Revenue Recovery products (DRG/DRGV, Medical Necessity Denials & ED Downgrades).
• Defines departmental goals, financial targets, and KPIs aligned with company objectives.
• Sets strategic direction for Revenue Recovery with senior leadership guidance.
• Develops quality and productivity metrics and benchmarks for Revenue Recovery functions.
• Generates training materials and communicates process changes and best practices.
• Ensures processes and inventory meet monthly, quarterly, and annual revenue targets.
• Oversees hiring, staff development, and performance reviews.

Job description

EnableComp LLC in the United States is seeking a VP of Revenue Recovery to lead the DRG/DRGV, Medical Necessity Denials, and ED Downgrades domains. You will oversee product and service teams to deliver best-in-class results while ensuring coding integrity and regulatory compliance.

The role requires strong leadership, strategic and operational proficiency, and the ability to drive client satisfaction and continuous improvement across Revenue Recovery.