Vice President, Revenue Recovery

This is a fully remote position, open to applicants in United States.

📋 Description

• Provide strategic leadership for EnableComp’s Revenue Recovery and Denials division, encompassing Zero Balance Recovery, Denials, Appeals, and related solutions.

• Drive financial performance, operational execution, business development, and strategic direction.

• Collaborate with executive leadership alongside Product, Technology, Finance, Sales, Client Success, and Operations teams.

• Establish departmental objectives, financial goals, and key performance indicators.

• Develop quality and productivity metrics and benchmarks.

• Design, communicate, and train teams on process modifications and operational best practices.

• Ensure processes and inventory align with monthly, quarterly, and annual revenue projections.

• Recruit, train, supervise, inspire, and assess staff, including goal-setting, performance evaluations, workload distribution, and performance monitoring.

• Coordinate organizational resources for client and project action plans.

• Prioritize daily tasks and ensure that impactful work is adequately staffed.

• Track performance metrics, report outcomes to stakeholders, and formulate corrective action plans.

• Clarify variances to management relating to DRG reviews, billing activities, and revenue metrics.

• Examine operational processes and systems to identify potential improvements and enhancements to SOPs.

• Manage high-level client relationships, provide performance updates, and address escalated issues.

• Oversee training materials, onboarding processes, ongoing education, and quality improvement initiatives.

• Cultivate a high-performing, scalable team through leadership, coaching, and accountability.

• Stay informed on regulatory and compliance requirements, including HIPAA and coding guidelines, ensuring staff compliance.

• Maintain expertise in DRG coding, clinical documentation, and reimbursement methodologies.

• Perform additional duties as necessary.

⛳️ Requirements

• Bachelor’s degree in health information management, Nursing, Healthcare Administration, Business, or a related field is required; a Master’s degree is preferred.

• Active Certified Coding Specialist (CCS), RHIT, or RHIA is strongly preferred.

• 7-10 years of progressive leadership experience in healthcare reimbursement, including over 5 years in clinical denials or inpatient claims environments.

• Experience collaborating with internal teams in a client-facing or client-support capacity.

• Strong knowledge of inpatient coding, DRG reimbursement methodology, medical record auditing, and payer guidelines.

• Proficient in navigating hospital revenue cycle environments and utilizing large-scale data/reporting tools.

• Ability to function effectively at both strategic and operational levels.

• Consistent and timely attendance.

• Equivalent combination of education and experience will be considered.

• Capability to perform each essential duty satisfactorily; reasonable accommodations may be provided for qualified individuals with disabilities.

• Strong professional written and verbal communication skills.

• Experience working in a production environment and meeting deadlines.

• Excellent interpersonal skills for engaging with multiple internal stakeholders.

• Proven track record of achieving quantifiable results from and setting priorities for direct reports.

• Highly organized and able to manage multiple projects concurrently.

• Healthcare experience and familiarity with payer or provider data sets.

• Ability to prioritize and manage multiple responsibilities across various teams.

• Experience in communicating challenges and obstacles, along with developing action plans for management.

• Willingness to travel 0-10%.

🏝️ Benefits

• Opportunities for professional growth and development.

• Access to tools, resources, and support for career advancement.

• Flexible work environment.

• Support for work-life balance.

• A fun-focused workplace culture.

• Option for remote work.

• Commitment to equal opportunity and non-discrimination.